B-The-Real-U (B-TRU) Weight Management Program Course “Show of Interest” Form

B-The-Real-You Weight Management Program Course "Show of Interest" Form

Name

E-mail address

Age

Gender

How much weight would you like to lose?

What medical conditions do you have?

What do you really need from this course and what aspects of weight loss would you like to see included.

I will keep you informed of when the course is completed and the pricing.

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Submit

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