VeMMA Nutrition

Please take the time to fill out this short health questionnaire.

As a thank you for completely filling out this questionnaire I will send you a VeMMA Thirst!

There are 10 short questions - just insert your answers into the message portion at the bottom of this page.

Please go to my VeMMA website for more informtion on our products and company:

debilombardi.vemma.com

VeMMA Health Questionnaire:

1. How important is your Health to you?

2. Do you take vitamins/nutritional supplements?
     If yes, what type of vitamins? (pills, capsules, tablets,
     powder, liquid etc...)

3. Do you drink energy drinks?
     If yes, what brands?

4. Do you drink sports drinks?
     If yes, what brands?

5. How often do you drink energy or sports drinks?
     ____ per day   ____ per week   ____ per month?

6. Are you interested in diversifying your income?

7. Do you know anyone with health issues that VeMMA
   products could help?

8. Which VeMMA delivery system appeals to you the most?

   VeMMA Liquid Nutrition           Thirst - Sports Formula
                                                             (healthy hydration)

Verve! Healthy Energy Drink             Verve! Energy Shots
    (Regular or Sugar Free)                 (Regular or Sugar Free)

VeMMA NEXT

                                (Children's Formula)

9. Which VeMMA Delivery System would you or someone you
   know need/use the most?

10. Would you or anyone you know be interested in finding
      out how to invest $120 a month in your family's health and
      then be able to turn it into your future wealth?

Thank you for taking the time to fill out this short health survey. As soon as I receive your completed information I will send you a packet of VeMMA Thirst!

* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):

I want to receive newsletters, updates, and special offers

DreamCarousel.com

Debi Lombardi's Mastermind Group