Wellness Survey

Question Title

1. First & Last Name (Required.)

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2. Phone Number or Email (Required.)

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3. What do you struggle with in overall wellness? (Check all that apply) (Required.)

I am drinking too much caffeine (coffee/tea/energy drinks)

I am struggling with protein in my daily meals

I am not getting enough fruits & veggies

I am lacking energy/poor sleep

I am looking for a collagen booster to better my skin

I often experience bloating/poor digestion

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4. I would like to see an improvement with (Check all that apply) (Required.)

More energy

Improved sleep

Less brain fog

Better digestion

Decrease stress

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5. Are you happy with your skin/skincare routine? (Required.)

Yes

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6. Do you experience any of these skin issues? (Check all that apply) (Required.)

Oily skin

Acne

Wrinkles/Fine Lines

Dry skin

Eczema

Dark Spots

Lacking glow

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7. How best can I work with you to help you get to where you want to be in your daily routines? (Check all that apply) (Required.)

Let me know when you are holding a wellness workshop!

Having a virtual event? Count me in!

Send me some product recommendations please!

I’d love to chat with you on a call!

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8. Are you interested in learning more about the opportunity to start your own wellness business and build an additional stream of income? (Required.)

I would be interested in learning more

Not at this time

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9. Would you be open to hosting a virtual event and receiving 35% off of a future purchase? (Required.)

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10. Would you be open to having a quick zoom call to chat about your survey? (Required.)

Yes

No thank you

Wellness Survey

Question Title

* 1. First & Last Name (Required.)

Question Title

* 2. Phone Number or Email (Required.)

Question Title

* 3. What do you struggle with in overall wellness? (Check all that apply) (Required.)

Question Title

* 4. I would like to see an improvement with (Check all that apply) (Required.)

Question Title

* 5. Are you happy with your skin/skincare routine? (Required.)

Question Title

* 6. Do you experience any of these skin issues? (Check all that apply) (Required.)

Question Title

* 7. How best can I work with you to help you get to where you want to be in your daily routines? (Check all that apply) (Required.)

Question Title

* 8. Are you interested in learning more about the opportunity to start your own wellness business and build an additional stream of income? (Required.)

Question Title

* 9. Would you be open to hosting a virtual event and receiving 35% off of a future purchase? (Required.)

Question Title

* 10. Would you be open to having a quick zoom call to chat about your survey? (Required.)

1. First & Last Name (Required.)

2. Phone Number or Email (Required.)

3. What do you struggle with in overall wellness? (Check all that apply) (Required.)

4. I would like to see an improvement with (Check all that apply) (Required.)

5. Are you happy with your skin/skincare routine? (Required.)

6. Do you experience any of these skin issues? (Check all that apply) (Required.)

7. How best can I work with you to help you get to where you want to be in your daily routines? (Check all that apply) (Required.)

8. Are you interested in learning more about the opportunity to start your own wellness business and build an additional stream of income? (Required.)

9. Would you be open to hosting a virtual event and receiving 35% off of a future purchase? (Required.)

10. Would you be open to having a quick zoom call to chat about your survey? (Required.)