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Customer Survey
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1.
How satisfied are you with your energy level?
(Required.)
1 (exhausted)
2
3
4
5 (Totally energized)
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2.
How satisfied are you with your sleep quality?
(Required.)
1 (poor)
2
3
4
5 (sleep like a baby)
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3.
How satisfied are you with your immune support?
(Required.)
1 (poor)
2
3
4
5 (confident in my immune support)
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4.
When you feel like having a snack, what’s your go-to? (Select all that apply)
(Required.)
Wellness Bars
Portable Proteins
Crunchy Snacks
Protein Bars
Energy Bars
Sweet but Healthy
Meal Replacement Bars
Shakes
Other (please specify)
5.
We all want to make wellness a priority; do you currently use any vitamins or supplements? If yes, please explain what you currently use.
Yes
No
If yes, please explain
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6.
From the list below, how can we help make your workouts better for you? (Select all that apply)
(Required.)
More Energy
Strength Building
Endurance
Better Hydration
Recovery
I currently don’t work out consistently
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7.
What are your specific skincare concerns? (Select all that apply)
(Required.)
Dry Skin
Oily Skin
Fine Lines and Wrinkles
Clogged Pores
Acne
Sun/Age Spots
Uneven Skin Tone
Skin Texture
Other (please specify)
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8.
Regarding cleaning, what’s important to you? (Select all that apply)
(Required.)
Simple & Easy to Use
Safe For the Environment
Stain Removal
Antibacterial/Disinfectant
Laundry/Allergy & Dermatology Tested
Kitchen/Dishes
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9.
We’ve talked about a few things, but what other topics are important to you? (Select all that apply)
(Required.)
Hair, Skin & Nail Health
Joint Health
Gut Health
Heart Health
Eye Health
Gut Health
Sleep Health
Stress Management
Sports Nutrition
Weight Loss
Energy Management
Kids’ Health
Skin Health
Anti-Aging
Clean Skincare
Cosmetics
Personal Care
Oral Health
Home Care
Air Purification
Water Purification
Other (please specify)
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10.
Thanks for completing this survey!
To conclude, please check the boxes that apply to you regarding ordering preference, and how you would like to keep in touch. Also let us know if you would like regular updates on new products and programs.
(Required.)
I like to shop online myself
I’d like you to order on my behalf
I prefer text
I prefer phone calls
I prefer email
I will reach out to you when I want
Send updates
Do not send updates