Weight Loss Success Stories

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Do You Have A Weight Loss Story?
	How is your weight loss journey going? Let us know and you could be featured in KFF! Submit Your Story...

Read my blog at Political Voices
of Women Community

Fall 2008 Issue

Weight Loss Success Stories!

Do YOU have a weight loss success story?

If you've lost 20 pounds or more let us know. We'd like to feature your story in an upcoming issue of KFF.

Deadline: This segment is on-going.

INSTRUCTIONS:
Submit the answers to the form below and Email us your before and after photos. We will notify you if your entry is selected. Email to: weightlossstories@keepingfamilyfirst.org

Weight Loss Success Story Entry

First Name

Last Name

City

State

Phone: (Will be kept private)

Please Check:

Male

Female

Email: (Will be kept private)

Age:

Proud Mom or Dad of How Many?

Weight Loss in Pounds:

Weight Loss in Inches (optional):

Number of months it took to lose the weight:

Number of months or years you've kept off the weight:

Exercise regimen employed:

Diet employed:

What were your biggest struggles?

How did you overcome the struggles?

Words of encouragement to others seeking to lose weight:

Please tell us how you heard of KFF:

*By submitting the following information you are allowing KFF the right to publish your story. You acknowledge that the information is true.

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