Hi, it's Armelle here😄 PLEASE COMPLETE BELOW SO I CAN HELP YOU REACH YOUR GOALS.
Name
First Name
Last Name
Phone Number
 -
Area Code
Phone Number
Email
example@example.com
Where did you find us? Instagram / FB / Recommended by someone / in person / Other
What is your INSTAGRAM handle (or Facebook ? )
So that we can find you on IG or FB
How long have you been following / knowing us ?
Check all that apply, I WANT TO:
Join a 21-Day Challenge
LOSE WEIGHT
GAIN WEIGHT
TONING
BUILD MUSCLE
TUMMY TONING
MORE ENERGY
POST-PARTUM results
AGEING HEALTHY
PLANT BASED plans
I am interested in Earning Extra Income and Joining The Team
Other
Are you PREGNANT and interested in a Healthy Pregnancy?
How have you tried to LOSE WEIGHT / Get HEALTHIER in the past? If YES, which method did you try?
Requesting information regarding:
Is there anything else you’d like us to know?
How much do you spend on breakfast, lunch, dinner, takeaways & energy drinks per day ?
$5-$10
$10-15
$15-20
$20+
Have you tried Herbalife Nutrition before ?
NO
YES
Have you ever been a Herbalife Nutrition Member ?
NO
YES
If YES, how long ago ?
Do you agree to receiving emails from us ? Don’t worry we WON’T bombard you, and you can OPT out anytime just let us know. Please check JUNK/PROMO folders.
Thank you for completing the form and I look forward to speaking with you. Kind Regards Armelle
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