Share My Lose It! Story

1

Name (First and Last)* This field is required.

2

E-mail so we can get in touch* This field is required.Our marketing and PR team will reach out directly if there's an opportunity to showcase your story.

3

Age* This field is required.

4

City, State, Country* This field is required.

5

What's your Occupation?

6

We'd love to hear about your weight loss goals!* This field is required.Please give us your weight when you started using Lose It!, your current weight, and your goal weight.

Starting Weight

Current Weight

Goal Weight

7

If you have an instagram account, please provide a link to your profile. This will be used to tag you if we decide to share your story on our social media channels, and make sure to follow up @loseitapp on Instagram!

8

How has your weight loss journey been going so far?* This field is required.

I'm on track to hit my weight loss goals on time.

I'm on track, but I've been losing weight slower than I thought I would.

I've been losing weight but find it challenging to stay on track.

I've been tracking but my weight loss has hit a plateau.

I've been tracking but have not lost weight.

9

Tell us about why you decided to start losing weight* This field is required.Whether it's a big life event, a doctor recommendation, or something else - we want to hear about what motivated you to focus on reaching a healthy weight. 2-3 sentences is great - or more if you’d like!

10

What are some of the biggest challenges you’ve faced during your weight loss journey? How have you overcome them? * This field is required.Example: “I was snacking after dinner and it was easy to overeat out of habit and boredom. I started journaling after dinner to acknowledge my feelings and keep my hands busy until the urge passed”

11

Weight loss can be as challenging mentally as it is physically. Describe a non-scale victory from your weight loss journey that you’re proud of.* This field is required.Example: “I have more energy to do activities with my kids” or “I am sleeping better” or “I built an amusement park and filled it with dinosaurs I made in my lab”

12

What is a healthy habit you’ve grown that helps you stay on track?* This field is required. Example: “I drink water with my dinner so I eat slower and enjoy my food more” or “I log all my food the night before”

13

Photo 1

Drag and drop files here

Select files to upload

14

Photo 2* This field is required.

Drag and drop files here

Select files to upload

15

Photo 3 (Optional)

Drag and drop files here

Select files to upload

16

I hereby authorize Lose It! and its parent Company FitNow, Inc. (“Lose It!”) to use my submitted testimonial content (including any pictures, my name and biographical information), in whole or in part, to advertise and promote Lose It! in social, digital or printed publications, newsletters, multi-media presentations or any other media now known or hereafter developed. I waive any claims that I or my heirs, representatives, or any other persons acting on my behalf or on behalf of my estate may have by reason of this authorization.

17

Authorization

I authorize Lose It! to use my content provided in this form.