Follow Up Schedule and Notes
Name: ___________________________________________
Program and Products:
_________________________________________________________________________________________
___________________________________________________________________
Day 1 (____________/_____________)(you should have goal & starting size, if not ask)
Before Pic - Yes/No (Herbalife pays if they get published)
How did your day go?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________
How did you make your shake?
_____________________________________________________________
What tablets did you take today and when?
B_______________L________________S____________D______________
On a scale of 1 10 (high)
o Hunger level _________
o Energy Level __________
How much water are you drinking? ______________
Did you keep a food log? ____________
What were your starting measurements and your starting weight? (Weight Chart)
What else did you notice today?
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________
Schedule next appointment
Day 3 (________________/________________)
Lets get your weights and measurements.
How did your day go compared to day 1?
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________
What tablets did you take today and when?
B_______________L________________S____________D______________
On a scale of 1 10 (high)
o Hunger level _________
o Energy Level __________
How much water are you drinking? ___________________
What time did you drink your shakes? _________________
Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Discuss why? _________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________
Reminder: If you think you can lose this weight YOU CAN! If you think you cant well then whats
going to be the outcome? So everyday say to yourself as silly as it may seem --- I release these excess
pounds of body fat so I can be fit and healthy!
Day 7 (_____________/____________) Congratulations its been a full week!
What tablets did you take today and when?
B_______________L________________S____________D______________
On a scale of 1 10 (high)
o Hunger level _________
o Energy Level __________
Did you weigh and measure this morning? ___________Pounds _________Inches
Still doing well? How are you feeling?______________
Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Reminder: 1 shake per day is weight maintenance, 2 shakes per day is weight loss -- Consistency is
KEY!!!!
Day 14 (____________/___________) This is awesome! Its been 2 weeks!!!
What tablets did you take today and when?
B_______________L________________S____________D______________
On a scale of 1 10 (high)
o Hunger level _________
(Once levels are at is down to 1 or 2 for hunger and
o Energy Level __________
9 or 10 for energy there is no need to gauge)
Has anyone noticed your energy level? ______________
Did you weigh and measure this morning? ________Pounds ________Inches
WONDERFUL!! You are right on track! Whos noticed your results?
Day 21 (_____________/____________) Reorder day FV DC WB CL CC PC
Congratulations on getting through 3 weeks!! Healthy habits are forming
You should be nearing the end of your tablets and shake.
Would you like to try another flavor? _____________________________________
Who else has noticed? Y______N______
Ask for referrals________________
Remind them of discount program and sign them up if they are not already receiving a discount.
Day 28 (______________/______________)
Did you weigh and measure this morning? ________Pounds ________Inches
Are you getting a lot of compliments? ________________________________
Would they like to start the program? _______________ (Names and numbers)
Id love to give you referral credits who do you know that wants to lose weight like you just did!
$5 for each referral that purchases or $10 toward products.
Credit
Name
Phone
