REV UP WELLNESS APPAREL

If someone referred you, please enter their name*

What are you looking to improve in your health and wellness?*

How much weight do you want to lose or gain?*

What is your biggest motivation to lose weight/get healthy?*

What kinds of diets, eating plans or weightloss/health plans have you tried in the past? Any supplements to help with energy, weightloss, etc from below?*

Where do you struggle most with food?*

If you are currently exercising? Tell us what you do*

Have you worked with a mindset coach for weight loss or any other areas where you were searching for success?*

Are you willing to follow directions & a simple system that works and commit that we are in this together UNTIL we reach your goal?*

Do you have a current Young Living customer, distributor, or Brand Partner membership? NOTE: There is only one product we require for our 10 Day Rev Up and others we highly suggest. The product has helped thousands of our clients with their energy, cravings, focus, sleep, and weight loss journey.*

If yes, what is your Young Living Membership or Customer number? (this helps us with prizes and gifting)

If you answered yes, as a Brand Partner, who is your Diamond Leader?

Are you on Young Living's Loyalty Essential Rewards Program?*

THERE ARE THREE LEVELS OF PARTICIPATION (YOU get to choose YOUR level of participation) If you order through any of the links above, your sponsor has a FREE Tuition Code to get you into the RevUP program at no charge for this month. Which level of participation did you choose? *

Do you have your Good, Better or Best selection*

Any additional information I should know?*

DISCLAMER #1 I agree that: By purchasing these products and participating in the Rev Up program, that any leaders sharing this plan with you are not liable for any potential damages incurred. The wellness program is simply meant to guide you to eat well. Any statements made have not been evaluated by the Food and Drug Administration and not meant to treat, diagnose or cure you*

DISCLAIMER #2 I agree that: This plan in its entirety, all guides, and journals as well as instructional videos are the intellectual property of Wendy Clayton and the leaders sharing the information in this group. Any sharing with outside parties, defined as any person not in the “Rev Up Wellness” Facebook Group, is prohibited without express written permission.*