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Please take your time and be honest with yourself about your strengths and interests. If you answer “yes, I agree” to six or more of the questions on this qualifying questionnaire and are serious about starting your own business, please fill in the application below and one of our leaders will contact you.

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:
 

 

 

 

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