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TRANSFORM: MIND, BODY & SPIRIT
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Sunday Zoom Training
12-Week Weight Loss Program
Resistance Band Training Class
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LET US KNOW ABOUT YOUR CHANGES
Please answer all questions below!
First name
Last name
Select Product(s) Ordered
Fruit
Vegetable
Berry Blend
Omega Blend
Protein Shake Blend
Perform Protein Shake
CHECK ONE BOX ONLY!
Drinking More Water
Yes
No
N/A
Eating More Fruits and Veggies
Yes
No
N/A
Doing More Exercise
Yes
No
N/A
Eating Less Sugar
Yes
No
N/A
Drinking Less Soft Drinks
Yes
No
N/A
Cooking Fresh Meals at home
Yes
No
N/A
Snacking Less
Yes
No
N/A
An improvement in the quality of your sleep?
Yes
No
N/A
Eating Less Fast Food?
Yes
No
N/A
An increase in the amount of time you have been able to work out?
Yes
No
N/A
An incerase in the qaulity of your workout?
Yes
No
N/A
Any weight loss (If you decided to lose weight)?
Yes
No
N/A
An improvement in your general sense well-being?
Yes
No
N/A
A decrease in your feelings of stress?
Yes
No
N/A
An improvement in your positive mental outlook?
Yes
No
N/A
Any other positive changes not mentioned above?
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