21 Day Challenge | Wellness Resolution

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21 Day Challenge

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21 Day Challenge

Full Name*

Phone Number

Social Media (e.g. Instagram)*

Date of Birth*

Country*

City

How much do you spend daily on food?

Do you eat breakfast?

Yes

No

Maximum 3 times a week

At least 4 time a week

Did you try Herbalife Nutrition products in the past?

Yes

No

My Goal is:

Fat Loss

Increase Muscle Mass

a Healthier Lifestyle

How much weight do you want to loose/gain?

How many times a week are you working out?

1-3 times a week

4-6 times a week

None

How determined are you?

I am very determined! I want to begin asap!

I am just curious.

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contact

herbalifechris24@gmail.com

+357 96528364

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