Questionaire | The New You Lifestyle

Team Questionaire
Questions marked by * are required.
1.	Do you consider financial and physical health a priority? Yes No Unsure
2.	Do you like helping others improve their health and lifestyle? Yes No Unsure
3.	Are you entrepreneurial and do you enjoy creating your own life/destiny? Yes No Unsure
4.	Are you an educator, wellness practitioner or fitness instructor who would like to round out your practice with a sound health & nutrition program for your clients? Yes No Unsure
5.	Have you ever asked yourself where you want to be 5 years from now? Are you actively taking steps to get there? Yes No Unsure
6.	Are you interested in learning how the Law of Attraction can help you create the life of your dreams? Yes No Unsure
7.	Are you willing to take 100 percent responsibility for your life and your success? Yes No Unsure
8.	Are you willing to change the actions and beliefs that no longer serve you? Yes No Unsure
9.	Are you willing to step out of your comfort zone in order to reach your full potential? Yes No Unsure
10.	Are you willing to commit five to ten hours a week to realizing your potential? Yes No Unsure
11.	Are you willing to invest $600 to $1300 towards your financial freedom? Yes No Unsure
12.	First Name: *
13.	Last Name: *
14.	Email: *
15.	Verify Email: *
16.	Company Name:
17.	Street Address:
18.	City:
19.	State:
20.	Postal / Zip Code:
21.	Country:
22.	Phone Number: *
23.	Evening Phone:
24.	Referred by: