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Congratulations on investing in you! I am excited to share more about Isagenix with you!
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Name
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Email Address
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Phone number
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Instagram handle
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Please watch this short video on Why Isagenix is different!!
Physical wellness: Review of your health goals
Please choose all that apply to you and your goals.
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Weight Loss
Earning Referrals
Increased Energy
Sleep
Digestive Health
Healthy Aging
Athletic Performance
Convenience
Financial Opportunity
What prompted you to want to make a shift in your life?
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Your answer
How serious are you about committing to making your health a priority?
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Not sure yet
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10
Unshakable Commitment
Curious who are two people (or more) who would do this with you?
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Who do you know that you would love to have do this program along with you? Studies have shown that people who have accountability partners or buddies have a higher success rate then those without this kind of support and motivation.
Your answer
Do you have any specific health concerns or nutritional challenges? If so, please explain...if not write NA
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How often do you drink coffee or energy drinks, and if so how much?
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Your answer
Are you someone who typically eats breakfast, if so what do you have?
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Your answer
What do you typically have for dinner?
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Your answer
What do you typically have for your daily snacks?
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Your answer
How often do you exercise and what are you favorite forms of exercise?
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Your answer
Do you take any current vitamins, or other supplements?
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Your answer
What are some short term health goals that are important to you, and in what time frame would you like to achieve them?
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Your answer
Individual Budget
Please watch this short video: Overview of nutrition
On average how much would you estimate that you spend for one meal? (for example: if you eat out for lunch a few times during the week, on average you are spending $10 a meal)
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$5 a meal
$10 a meal
$15 a meal
$20 a meal
Other:
On average what do you spend daily on Starbucks (coffee), gas stations, energy drinks, snacks on the go, cafeteria, etc?
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None
$5
$10
$15
$20 or more
Financial Wellness: Simply everyone eats, why not earn referrals?
Your answer
How would you characterize your interest level in the business opportunity?
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I’m interested in earning referrals to cover the costs of my products.
I’m interested in earning referrals to cover the cost of my products as well as an additional stream of income.
I would like to learn more about the opportunity and the potential to earn with zero cap.
At this time, I am not sure.
Help me to understand your current mindset related to opportunity, personal finances, and your vision for the future.
Please watch this video: The Next Entrepreneur
What amount of income would make an impact on your life?
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$100-$500 a month
$500-$1000 a month
$1000-$2000 a month
$2000 or more a month
What would your ideal day look like if you did have to worry about time or money? Where would you be? Who would you be with?
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What is the one bill that you wish was paid in full? If none, type n/a!
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Your answer
What are some short term financial goals that are important to you, and in what time frame would you like to achieve them?
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Your answer
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