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Lead Follow Up -Form Fill
Section One
Q1
Name*
First Name
Q2
Name*
Last Name
Q3
Phone Number
Area Code
Q4
Phone Number
Phone Number
Q5
Email
Q6
Do you prefer
phone
text
email
Q7
Best time of day to follow up
8-10
10-12
12-2
2-4
4-6
Q8
Do you drink soda, coffee or other energy drinks?*
Yes
No
Q9
Score your overall energy level? 1-10*
Q10
What are you most interested in?
Energy
Weight Management/ Fat Loss
Workout/ Sports Performance
Hair, Skin Nails Health
Q11
Would you attend a free nutritional workshop to learn about balancing your protein, carb and fat to increase your metabolism?*
yes
no
Q12
If I could show you a plan and group of products that could dramatically shrink your bodyfat would you take a look?*
Yes
No
Q13
When you have amazing results would you consider sharing them with other people?
yes
no
Q14
Would you be interested in:*
Getting a discount on products
Earning and extra $200- $800 / month
Building a side business in excess of $5k a month
Paying off Debt
Not interested in extra income
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