WL4L Application

HI GORGEOUS!

Please fill out this application. Once submitted, you'll be redirected to a scheduling page to schedule your one-on-one call with me. This a private call and laser focused on you.

Please note: Breakthrough Sessions are for you if you are truly ready to learn a new way to experience lasting weight loss, create a healthy relationship with food, and love and adore yourself. This is positively a transformative experience that will leave you excited, energized and proud.

If it just can’t wait (been there), email me at support@melissakathryn.com and we’ll get you scheduled right away!

Until then, have a fabulous day!

First Name*

Last Name*

Email (best email to reach you)*

Phone number*

What country and time zone do you live in?*

How did you hear about Melissa? *

What has you looking for support around this NOW?*

What would you like to achieve in working with Melissa? List your top 3 goals/outcomes.*

How much are you willing to invest in your success of being on the other side of this?*

There is a financial investment to participate in this program, which has every facet of support imaginable and is of the highest level of quality, teaching and content provided to get you the results you’ve wanted for your whole life.

That said, please select the statement below that best describes your current level of willingness and ability to make an investment in yourself.

*Your answer to this question doesn't obligate you to anything and if you're selected there are payment options available.

I have the necessary funds and resources to invest highly in my self growth.I do not have the funds nor resources to invest in me at this time.

At this time, how would you describe your level of commitment to being done with your battle with food and your struggle with your weight, to really be free from dieting and to love how you look and feel, to live the life you deserve and be seen?

Right now I would describe myself as...

Select one*

...1000% Committed to getting Melissa’s help and being in this program if selected! I’m ready to love myself and my body, to be done sabotaging myself and constantly thinking about what I can and can’t eat! I’m done going at this alone and not getting to where I want to be!…I’m just looking for some extra advice and wanted to see what you’re all about…