🚀 go-pugleaf

Would you like a free chance to win $20,000 US or a
2 week trip to Hawaii for 2 people?!

If so, please complete the following survey and e-mail
it back to me (make a list from #1-11 and put answers
by the appropriate #):

1. Which of these words best describes your own lifestyle?
   a) Calm
   b) Active
   c) Stressed

2. Do you think you get 100% of the daily nutrition needed
   for good health?
   a) Yes
   b) No
   c) Sometimes

3. Do you take nutritional supplements? (vitamins/minerals/proteins)
   a) Daily
   b) Sometimes
   c) Never

4. Do you experience a loss of energy during the day?
   a) Yes
   b) No
   c) Occasionally

5. Do you, or does any member of your family or friends
   need to lose, gain, maintain weight or increase
   energy/mental alertness?
   a) Lose weight
   b) Gain weight
   c) Maintain weight
   d) Increase energy/mental alertness
   e) Can�t say for certain

   You ____ lbs.
   Family ____ lbs. ____ lbs. ____ lbs.
   Friends ____ lbs. ____ lbs. ____ lbs.

6. Have you tried diet programs in the past?
   a) Yes
   b) No

7. Which ones? _________________________
   Did they work? ______________________
 
8. Do you eat a variety of healthy foods from the basic
   food groups each day?
   a) Yes
   b) No

9. If no, why not?
   a) Not enough time for shopping or preparation
   b) Too expensive
   c) Too complicated

10. Are you interested in learning about a nutritional
    program to control weight and increase energy/mental
    alertness while still eating the foods you like,
    without feeling hungry?
    a) Yes
    b) No

11. Are you interested in a business opportunity?
    a) Yes
    b) No

Name: _________________________________
Address: ______________________________
Zip: __________________________________
Country: ______________________________
Telephone: ____________________________