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Commitment Questionnaire

Are you ready?  Here's a short Questionnaire to help you determine how ready and committed you are to start your journey to better health and sustained weight loss. 

The journey of a thousand miles starts with a single step.

I hope you will give yourself time to reflect before answering each question.

At the end, you can choose to send me your results and ask me any burning questions you may have.

READY TO BEGIN RE-SHAPING YOUR BODY AND YOUR LIFE?

Please note that all fields followed by an asterisk must be filled in.
Oh yes, I'm SO willing!
I'm pretty sure I want to.
Somewhat
A little
Not right now
I'm not sure
Yes, I'm seriously ready.
I'm not sure.
No, I'm not ready at this time.

Please enter the word that you see below.

  

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