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Schkinny Nutritional Cleanse
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Fri
12
Mar 2010
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Name:
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How did you find out about us?:
I have done the cleanse before
My friend has done the cleanse before
Web search
I read about it in the media
Pamphlet
My Gym
My Hairdresser/Beautician
Other
Other:
What is the main thing you are looking to achieve from your Cleanse?:
Shed some kilos
Increase my energy and mood
Kick start my new health regime
Boost my immunity
Quit my caffeine addiction
Other (We'd love to know)
Something Else:
What sort of job do you have?:
My life is my work - long hours, lots of pressure
I work hard but I do not carry the weight of the company on my shoulders
I am kinda low on the food chain
I run my own business
My home and my family is more than enough to keep me busy
Have you ever detoxed/cleansed your body and mind before?:
Yes
No
If yes, what did you use?:
Health Retreat
Lemon Detox
Juice Fasting
Water Fasting
Other Method
What did you get from your last detox?:
Shed some kilos
Increased my energy and mood
Kick started my new health regime
Boosted my immunity
Quit my caffeine addiction
Other
On a scale of 1 to 10, how would you rate your current level of health? :
1
2
3
4
5
6
7
8
9
10
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NSW
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WA
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Address Type:
A house with security like Fort Knox
House with front porch that you can walk up to
Unit in a secure complex
Unit with access to my front door
Office that you walk straight into at any time of day
Office with lift access after a certain time
Office with security to rival a bank vault
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