Please choose all that apply to you and your goals. *
Required
What prompted you to make a shift in your life? *
Your answer
How serious are you about committing yourself to make your health a priority? *
Interested in more info
Total Committed
Who are two people (or more) that you would like to do this with? *
Your answer
Do you have specific health concerns or nutritional challenges? If so please explain, if no write n/a *
Your answer
How often do you consume alcohol? *
Are you someone who eats breakfast? What do you typically eat? *
Your answer
What time do you eat lunch? What do you typically eat? *
Your answer
What do you typically eat for dinner? *
Your answer
I enjoy the following every day *
Required
Are you currently taking vitamins? If yes what kind? *
Your answer
How often do you exercise and what types of exercise do you do? *
Your answer
Please watch this short clip: Overview of the nutrition
Budget: I will help you find a pak to match your budget, lets see what you are currently spending.
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) *
On average what do you spend daily on Starbucks (coffee), gas stations, energy drinks, snacks on the go, cafeteria, etc? *
Financial Opportunity: Simply everyone eats, why not earn referrals?
How would you characterize your interest level in the business? *
What amount of income would make an epic impact in your life? *
What is one bill that you wish was paid in full? If none type n/a *
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? *