LET’S GET STARTED 💪🏼
I'm so excited to help you transform into the best version of yourself. To get started, I need to learn a bit more about you and your goals. The questions below will help me understand where you are now and what you want to achieve.Please take your time and answer each question as accurately as you can. This will help me create a personalized program just for you.I can’t wait to start this journey together!
Name
*
First Name
Last Name
Age
*
Height (ft)
*
Weight (lbs)
*
What is your goal ? (Weight loss/weight gain/health/feel healthier)
*
Why is it important for you to reach this goal?
What do you feel Stops you from Achieving your Goal ?
*
What are your goals ?
*
Reduce Body Fat - Lean&Fit Program
Gain muscle - Building Program
Improve Overall Health - Accountability Program
Weight Loss Program
Post-Partum / Healthy Pregnancy Program
Better Digestive
Besides the gym How would you Describe your Daily Activities? Please Answer Accordingly!
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Sedentary - you spend a lot of time sitting at a desk (bank teller, desk job, graphic designer, customer service)
Light Activity - Spend a good part of the day on your feet (teacher, salesman, barber)
Moderate - Spend a good part of the day doing physical activity (waitress, mailman)
Very Active - Spend most of the day doing heavy physical activity (mail man, carpenter, construction worker, warehouse jobs, full time dancer)
How Many Days a Week do you Exercise?
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Currently Not Exercising
2-4 Days a Week
4-6 Days a Week
What Foods are you Currently Eating throughout the day? (give me an example of what you had yesterday )
*
Will you be training at home or a gym facility?
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Home
Gym
I will not be training, i just want a nutrition plan
Have you tried Herbalife products before ?
*
No, it will be my 1st time!
Years ago
Currently Taking my Products
When would you like to start ?
*
I’m ready TODAY!
This upcoming Week
in two Weeks
How much are you willing to invest in you?
*
$150-$180
$200 I’m Ready!
$250-300 IM ALL IN
Are you looking for opportunities to create income as you move forward in your journey?
Friend Program PROMO
Social Media Username
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Submit
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