1

What is your name?

Choose answer which describes you most

What is your name?

2

Which of these would you be most interested in?

Choose answer which describes you most

Which of these would you be most interested in?

3

What is your age?

Never too young or too old

What is your age?

4

How you identify yourself?

Choose answer which describes you most

How you identify yourself?

5

How have you been feeling lately?

Choose answer which describes you most

How have you been feeling lately?

6

What are you struggling with?

Choose answer which describes you most

What are you struggling with?

7

How do you feel after you wake up?

Choose answer which describes you most

How do you feel after you wake up?

8

How are your energy levels during day?

Choose answer which describes you most

How are your energy levels during day?

9

Are you easily distracted?

Choose answer which describes you most

Are you easily distracted?

10

What are your stress levels during the day?

Choose answer which describes you most

What are your stress levels during the day?

11

Do any of these medical conditions apply to you?

Choose answer which describes you most

Do any of these medical conditions apply to you?

12

How do you describe your activity level?

Choose answer which describes you most

How do you describe your activity level?

13

Would you like to do this juice fast or meal program with a partner?

Choose answer which describes you most

Would you like to do this juice fast or meal program with a partner?

14

What are your eating preferences?

Choose answer which describes you most

What are your eating preferences?

15

What is your height in cm?

Not too low but no too high

What is your height in cm?

16

What is your weight in kg?

Not too light but no too heavy

What is your weight in kg?

17

What is your email?

Special program is coming your way

What is your email?

So pleased to see you accomplishing great things

So pleased to see you accomplishing great things