Largest Online Shopping Club and Grocery

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2 How often do you visit a store or grocery?

1. Every two weeks
2. Weekly
3. Monthly

3 Among the monthly household needs, how much do you spend? (items for home, grocery, wellness, detergents, beauty, pharmacy, natural supplements, pet food and grooming, clothing, etc.)

4 Have you ever referred someone to a store, supermarket, restaurant,hotel,etc?

1. YES
2. no

5 If your answer was YES, they paid you for referring?

1. YES
2. No

6 If you knew of a supermarket that shares monthly profits with its customers simply by recommending others, would you make your purchases there?

1. YES
2. no

7 Have you ever used natural certified products for a health problem, household need or pet care?

1. YES
2. no

8 If you could choose to buy directly from factory to avoid having to pay in the price of a product the expenses of intermediaries understand gains of the wholesalers, drivers, promotions, profit of the grocery store, among other expenses that increase the final store price when ALWAYS the customer budget is affected, would you?

1. YES
2. no

9 Have you had any store membership? If you answer YES, indicate how much was the cost ($) of it.

10 Have you ever bought online to avoid the loss of Time in Rows, Gas Expenses, etc?

1. YES
2. no

11 If you could know about a store that improves the quality of products that you use every day and provides those products at a better price; What would you do? (Items such as: Detergents,Grocery, Personal Cleaning, Food, Beauty, Pharmacy, Gym Supplements, among others ...)

1. Change Store
2. No, just remain in my same traditional store

12 If a Store Membership (which costs only $19 per year with no extra costs for renewal and cancellation penalties) could offer you in exchange: A) $100 free in products throughout the Store, B) Help you reduce 30% -50% in expenses in your home as you buy directly from the factory, C) Cash refund of 15% in purchases made in our associated stores such as: Apple, Macy's, Advance Auto Parts, Sears, Walmart, Best Buy, Ebay, among other 650 stores .), D) An additional income for recommending others to the Store, E) A points system to protect and guarantee your benefits as a member. F) Make your orders from the comfort of your home and receive them. G) Health & Security Services H) Financial Services ¿Would you get the membership? (*)

1. YES
2. no

13 If you could improve one area of your life, what would it be?

1. Health
2. Finances

14 Talking about finances, what amount of money would make a difference in your life and/or family?

15 Talking about Health Issues, either for you or for a family member, what conditions would you like to improve?

1. Diabetes
2. Thyroids
3. Triglycerides
4. Migraine
5. Cholesterol
6. Cancer
7. Obesity
8. Vision
9. Memory Loss
10. Fibromyalgia
11. Constipation
12. Heart Problems
13. Glucose or Insulin Problems
14. Prostate Problems
15. Women Prenatal Nutrition
16. Alhzaimer or Parkinson
17. Blood Circulation
18. Skin Conditions
19. Asthma
20. Lupus
21. Arthritis
22. Muscle Inflammation
23. Bones & Joints Problems
24. Study Concentration
25. Menopause
26. Andropause

16 How would you like to be helped with your Membership Request? (*)

1. Text Message
2. E-Mail

17 To be able to assist you promptly, how can we contact you? PLEASE FILL UP with your Phone,E-Mail, Name and Surname:  (*)

1. Name & Surname:
2. E-Mail:
3. Phone:

18 HELP US reach more people. WRITE Down the Name, Surname and Phone number of at least 3 people that you understand that would also like to know about this Online Wellness Supermarket Store.

1. 1)
2. 2)
3. 3)

19 THANK YOU FOR COMPLETING THE PRE-MEMBERSHIP APPLICATION, IN BRIEF, YOU WILL RECEIVE AN ONLINE APPLICATION LINK AND A SERVICE PHONE NUMBER FOR ASSISTANCE. OUR MISSION IS TO IMPROVE PEOPLE'S HEALTH AND FINANCES.

Comments to improve customer experience are welcome:

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