Cancellation Request Form
Please provide your details and answer a few questions to process your cancellation. After submission, your refund will be issued within 5 business days.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Reason for cancellation
*
Didn't have time for the program
Things didn't work out
Program was confusing
Other
Did you follow the required program steps?
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Yes
No
Partially
Which required actions did you complete? (Select all that apply)
Worked on the self-study course
Completed assignments
Participated in group activities
Made and used the magic drink
Worked with the journal
Discovered the NTFB process in my body
Used NTFB to test what works for me
Tested one microhabit
Tested more than one microhabits
How consistently did you participate in the program?
Very consistently
Somewhat consistently
Occasionally
Rarely
What obstacles prevented you from completing the program?
Did you use available support or resources?
*
Yes
No
What would have helped you achieve your goal?
Would working with me 1-on-1 in resolving this obstacle help you move past this roadblock -- assuming this help is free of charge?
*
Yes
No
What is your current progress toward the 5 lb goal?
I acknowledge that I may request cancellation for any reason.
*
I acknowledge
Submit Cancellation Request
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