• Health & Lifestyle Questionnaire

    Please fill in the questionnaire below
  • Do you feel that you receive balanced nutrition from the foods you eat?
  • How would you describe your energy levels?
  • Would you like to:
  • How much would you like to lose/gain?
  • Do you exercise?
  • Do you have any health concerns?

  • 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

  • A) For R150 can I offer you ?
  • B) Can I call you with more information about the Challenge?
  • C) If I can show you how to make an extra R1000-R7000pm without effecting your job working from home would you be interested?
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  • Should be Empty: