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Free Prize Draw Questionnaire

Free Prize Draw Questionnaire
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Questions marked with an * are required Exit Survey
 
 
* First Name : 
* Last Name : 
Phone : 
* Email Address : 
 
 
 
Have you ever used Aloe Vera products before?
 
Yes
 
No
 
 
 
Do you or anyone you know suffer from any of the following? (Select all that apply)?
 
Tiredness
 
Dry skin
 
Acne
 
Combination skin
 
Recurring colds
 
Brittle nails or hair
 
Indigestion
 
ME
 
Chronic fatigue
 
Eczema/psoriasis
 
Arthritis
 
Asthma
 
Low blood pressure
 
IBS
 
Crohn's
 
Colitis
 
Allergies
 
High blood pressure

 
 
 
How would you describe your health at present?
 
Poor
 
Adequate
 
Good
 
Excellent
 
 
 
Would you like to try a sample box of our products at home for 2-3 days?
 
Yes
 
No
 
 
 
Would you be interested in hosting an Aloe evening? (Find out how you could get your products at a discounted price or for free!)
 
Yes
 
No
 
 
 
Would you be interested in finding out more about our excellent cleansing and weight management products?
 
Yes
 
No
 
 
 
Would you be interested in looking at the income opportunity available with Forever Living Products?
 
Yes
 
No
 
Thank you for your time!
The winner will be notified by the 7th of next month
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