Customer Interest Profile
Thank you for your support of our family business. We look forward to serving you!
Name
First Name
Last Name
Email
example@example.com
Phone Number
What Might you be interested in learning more about?
Nutrition - Sports, Supplements, Weight, Energy
Beauty - Skincare, Makeup, Fragrance, Men's
Personal Care - Bath & Body, Hair, Oral
Home Products - Dish, Surface & Disinfectant, Laundry, Water or Air Purification
Nutrition
Sports, Supplements, Weight, Energy
Sports Nutrition
Interest Level
Snacks, Protein Bars, Protein Powders & Shakes, Pre-Workout, Flavored Water, Etc.
Not Interested
Somewhat Interested
Interested
Very Interested
Vitamins & Supplements
Interest Level
Multi-Vitamins, Chewables, Targeted (Heart, Glucose, Joints, Sleep, Vision, Bone, Probiotics, Vitamin C, etc.) CBD Cream & Spray (Gummies Coming Soon!)
Not Interested
Somewhat Interested
Interested
Very Interested
Weight Management
Interest Level
Meal Replacements, Snacks , Supplements, etc.
Not Interested
Somewhat Interested
Interested
Very Interested
Energy
Interest Level
B12 Energy Drinks (Caffeinated & Non-Caffeinated), Mixers, Energy & Focus Supplements (Gummies Coming Soon!)
Not Interested
Somewhat Interested
Interested
Very Interested
Beauty
Skincare, Makeup, Fragrance, Men's
Skincare
Interest Level
Masks, Cleansers, Toners, Moisturizers, Systems, Targeted, Supplements, Men's
Not Interested
Somewhat Interested
Interested
Very Interested
Makeup
Interest Level
Trend Collections, Mascara, Foundations & Powders, Eyes, Lips, Remover
Not Interested
Somewhat Interested
Interested
Very Interested
Fragrance
Interest Level
Cologne, Perfume, Body Mist
Not Interested
Somewhat Interested
Interested
Very Interested
Personal Care
Bath, Body, Hair, Oral
Bath & Body Care Products
Interest Level
Soaps, Body Wash, Body Lotions, Deodorant, Shaving
Not Interested
Somewhat Interested
Interested
Very Interested
Hair Care Products
Interest Level
Shampoos, Conditioners, Styling
Not Interested
Somewhat Interested
Interested
Very Interested
Oral Care Products
Interest Level
Toothbrush, Toothpaste, Rinse, Spray
Not Interested
Somewhat Interested
Interested
Very Interested
Home Products
Dish, Surface, Disinfectant, Laundry, Water Purification, Air Purification
Dish Products
Interest Level
Dish Soap, Dishwasher Tablets, Liquid Soap, Scrubbing Pad.
Not Interested
Somewhat Interested
Interested
Very Interested
Surface & Disinfectant Cleaners
Interest Level
Multi-Purpose Cleaner, Kitchen, Glass, Bath, Disinfectant, etc.
Not Interested
Somewhat Interested
Interested
Very Interested
Laundry Detergent & Treatment Additives
Interest Level
Detergent, Softener, All Fabric Bleach, Pre-Wash
Not Interested
Somewhat Interested
Interested
Very Interested
Drinking Water Purification System & Air Purification System
Interest Level
Above Counter, Below Counter, Fridge (Free Local Installation)
Not Interested
Somewhat Interested
Interested
Very Interested
Air Purifier
Not Interested
Somewhat Interested
Interested
Very Interested
Do you agree?
I would be interested in learning about your partner stores and discounts.
Submit
Should be Empty: