Chrysalism Life Coaching | Tell Me Your Story
 

It's all about you, wonderful you!

Tell Me Your Story

My dream is to write the story of “The Weight of Why”. This book will talk to the weight loss industry and help anyone struggling with weight loss/gain. Your story if selected would be part of the book. What your story will do is to show the truth behind what it is like to live in the world of weight loss/gain and the weight loss industry.

I would be very grateful if you would be so courageous as to tell me your story. If you are selected for the book, you would be contacted to ensure you understood fully how your information would be used. You have my PROMISE that nothing that you share would be used without your consent.

Step up and help someone else to understand that they are not alone and if you do you have my heart felt thank you!

Thank you so much for having the confidence in yourself to want to help others.

Male
Female

How many times have you tried to lose your weight? *

Please indicate if you have been on any of these diets: *

Weight Watchers
Jenny Craig
TLC Diet
MIND Diet
HMR Program
Biggest Loser Diet
Mayo Clinic Diet
Mediterranean Diet
Flexitarian Diet
Paleo Diet
Ornish Diet
Dash Diet

Please list any not mentioned above: *

Have you ever had any kind of surgical procedure to lose weight: *

Yes
No

If yes please tell us what you have had done and when?

Have you reached your goal weight? *

Yes
No

If yes what is the longest time you have been able to sustain keeping your weight off

How much weight have you lost in your life? *

Please provide your weight loss/gain life's journey in the section below. Please be as specific as possible. Please identify what the weight gain/loss journey in your life has done to your emotions and your life in general. *

Would You Like To Join Our Tribe? We Will Keep You Updated and Send You Great Information and Freebies!

Join The Tribe

After signing up as a Chrysalism Tribe member you will have immediate access to a 20-minute white light healing meditation designed and recorded by yours truly. Start YOUR journey to find your inner WHY to losing weight, building a dream, achieving a goal or finding your way out of grief.