Live You Best Life
Name
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Include area code
What are your top 2–3 health or wellness goals right now?
Weightloss
Muscle gain / toning
Energy & Focus
Healthy Digestion
Control Appetite
Feel more confident in my body
ALL of the above / Overall lifestyle change
What do you do for work? Is it mostly:
Sitting / Desk Job
Active on your feet
Mix of both
Have you ever used supplements?
Yes, I currently use some
I've tried some in the past
No experience with them
How often do you do physical activity each week?
Rarely
1-2x per week
3-4x per week
5+ times per week
What do you usually eat / drink for breakfast?
What do you usually eat / drink for lunch and dinner?
What are some of your favorite foods/snacks you can't live without?
What have you tried in the past to achieve these goals, and why do you think it was hard or you stopped. Or any additional info you'd like to share about some struggles or concerns you may have?
I am looking to understand what you like and disliked about other programs. Basically get to know YOU. This helps me make sure this is a good fit for you.
Are you ready to make an investment in your goals if this is the right fit for you?
Yes, I am ready to invest in myself
I'd need help budgeting
No, I'm not in a place to invest right now
Are you interested in some info on how to earn extra income or free products?
Yes for sure
Curious
No, not interested
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