Let's Party!!
Survey for the Lucky Lady I get to SPOIL!!!
Sign in to Google to save your progress. Learn more
Please confirm you are at least 18 years old. What is your birthdate? *
Email address *
What's your First and Last Name? *
Street address (Include apt #) *
Your City, State & Zip code *
Phone Number-OK to text? *
Is that the address for the party? If not, where are we partying? *
Is there going to be a Co-Host? Would you like to split the Hostess Rewards with her? *
Did you know it's EASY & FREE to have a Pure Romance Party, and YOU get FREE stuff for having it?! *
Captionless Image
What theme would you like? *
Do you already have a date in mind? (If not, that's great, I'll send you some of my available dates! If yes, then I'll do my best to accommodate!) *
Captionless Image
What's your primary goal for this event? *
Required
Do you have any products already on your wish list you want to earn for FREE? If so, what? *
Captionless Image
Ladies only, ages 18+! No men, children or babies can be in the home during my presentation. Please comment below "Got it!" *
On a scale of 1-10 how interested are you in becoming a Pure Romance Consultant and YOU making the money at this party?! *
Not at all!
Umm YES, more info please!
On a scale of 1-10 how excited are you for this party?! *
Eh, it'll be alright...
Totally FREAKING Stoked!!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy