21 Days Detox Challenge Feedback Page

21 Days Detox Challenge Feedback Box

Sharing your 21 Days Detox
experience is very important to us...

Please provide as much honest detail and feedback as you’re comfortable with…

* Indicates required field

Feedback Box

1. What were your fears/concerns when you first decided to participate in the 21 Day Detox Challenge? *

2. What did you think of the Detox Tools (eg Manua)? *

3. Were you pleased with the support that was provided? Please elaborate… *

4. What positive “side effects” did you notice during the 21 Day Detox Challenge? (i.e., better sleep, better digestion/elimination, decreased/eliminated acne, clothes fit better/got into jeans that didn’t fit prior, enjoyed healthy foods, increased energy, improved sense of well-being, etc.) *

5. What would be your most inspiring words (testimonial) to share with others who are considering the 21 Day Detox Challenge at Health and Fitness Australia? *

6. Is there anything else you’d like to share with us about the 21 Day Detox Challenge? *

7. May we use your comments as a testimonial to inspire other for the 21 Day Detox Challenge and for other future promotions (your support in this would be totally appreciated and we would be so grateful)? *

Yes - you have my blessing and support No, thank you

8. We are finalizing all photos and measurements. Would you be kind enough to allow Health and Fitness Australia to utilize your inspiring pre and post 21 Days photos to inspire others in future promotions (eg, website, Studio Album, Studio Wall, facebook, flyers, etc (your support in this would be totally appreciated and we would be so grateful) ? *

Yes - you have my blessing and support No, thank you Not Applicable (no photos or results with taken)

We are considering hosting a detox challenge party (and we may have food a really cool venue). Would you be interested in this? *

Yes, depending on date No thanks, not at all

Nomination Box

9. If you were to be nominated for the challenge by others, would you be willing to accept the nomination (acceptance of nomination will require you to be happy to be posted on the voters board for public to vote – very exciting!!!) *

Yes, I will accept nominations No, thank you, I do not want to accept any nomincations

10a) Who do you wish to nominate (insert name of person you wish to nominate – you can nominate yourself) as a worthy and potential candidate for this challenge? *

10b) Please provide your reason to nominate the nominee, this may be posted on the voters board for the public to vote (In 30 words or less, describe, what has inspired you to nominate this personal after completing the 21 Day Detox Challenge)? *

Your Contact Details

Name *

First

Last

Email *

Phone Number *

Submit Feeback and Nomination

Disclaimer: HEALTH AND FITNESS Institute of Australia is not intending to perform in the treatment or prevention of disease, nor is it a replacement for seeking medical treatment or professional nutrition advice. Do not start any nutrition or physical activity program without first consulting your physician. Participation in this program is at your own risk. HEALTH AND FITNESS Institute of Australia, it's owners, and staff are neither responsible nor liable for any harm or injury resulting from the use of the program.
TERM AND CONDITIONS APPLY, DATES SUBJECT TO CHANGE, PRIZES AND VOUCHERS SUBJEST TO CHANGE

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