Health & Lifestyle Questionnaire

Health & Lifestyle Questionnaire

This is a health and lifestyle questionnaire developed for lead generation Form Preview
Health & Lifestyle Questionnaire
  • Health & Lifestyle Questionnaire

    Please fill in the questionnaire below

  • I work with Herbalife International and help people with their nutrition. I personally have had great results myself: -

    I Used to:

    - Smoke a pack of cigarettes a day

    - Eat takeaway convenience foods 3-4 times per week

    - Never exercised

    - No energy

    - start weight 103kgs

    Now:

    - I no longer smoke

    - No more fast foods

    - Way too much energy throughout the day

    - Weight train x5 days a week and cardio twice a week

    - Happy to annouce I am 40kgs lighter

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  • Should be Empty:
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