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Lets get to know you better / vamos a conocerte mejor
Fill out the form to the best of your abilities so that we as Health Coaches can best service you! /
¡Complete el formulario lo mejor que pueda para que nosotros, como Health Coaches, podamos brindarle el mejor servicio!
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Full name / Nombre Completo
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Your answer
Phone Number / Numero de Telefono
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Your answer
Email/ Correo Electrónico
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Your answer
Location ( city & state ) / Locación ( ciudad / estado )
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Your answer
Check that all apply / Marque todas las que apliquen
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I want to LOSE WEIGHT / quiero PERDER PESO
I want to GAIN WEIGHT / quiero AUMENTAR PESO
I´m pregnant and interested in a healthy pregnancy / estoy embarazada y me interesa tener un embarazo saludable
I'm breastfeeding mom & want to get rid to my baby weight / estoy lactando y quiero perder peso
I want more information on the business / quiero mas informacion del negocio
How much you spend on food daily ( including meal prep, dine out , quick snack / beverages? / Cuanto gastas en comida por día ( incluyendo meal prep, comer fuera , snacks , bebidas )?
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$1-$5
$5-$10
$10-$15
$15+
Have you ever tried Herbalife Nutrition before? / Has probado la nutricion de herbalife antes ?
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Your answer
If yes, how long ago? / Si tu respuesta es si , hace cuanto tiempo?
Your answer
What's your instagram? / Cual es tu instagram ?
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Your answer
Are you ready to start or just want info? / Estas list@ para comenzar o solo quires informacion ?
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Yes / Si
Solo Info / Solo informacion
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