“Change Your Story” Challenge!

How to Apply

Please complete the form below or send an email (including current photos and all of the information requested on this page) to ChangeYourStory@lindora.com. Please be sure you answer all of the questions.

Contact Information & Background

  • Name*
  • Email*
  • Home Address
  • Phone
  • Age
  • Occupation
  • Height
  • Current weight
  • Goal Weight
  • Current size (Dress/Pants)
  • Before Photo
  • After Photo
  • Are you currently taking any medication for diabetes, high blood pressure, high cholesterol, etc.? Please describe:
  • Please tell us about your social media activity. Do you use Facebook, Twitter, Instagram, etc.). If you blog, please provide a link

Why do you want to participate in the Lean for Life® “CHANGE YOUR STORY” CHALLENGE?

Please take a few minutes to tell us about yourself by answering the following questions.

Part 1

  • How does being overweight impact your life?
  • How do you feel about your body?
  • How long has weight been an issue for you?

Part 2

  • Was there an ”aha moment” when you decided to begin your journey to a healthier life?
  • What would it mean to you to be lose weight, improve your health, and become Lean for Life?
  • What has been your experience with other weight loss programs?

Part 3

  • How do you feel about sharing your story with the media, online, and in advertising?
  • What is your greatest motivation for losing weight?
  • What do you most look forward to doing when you are Lean for Life?

Details

  • Ten (10) contest entrants will be selected to participate in the Lean for Life by Lindora Clinic® "CHANGE YOUR STORY" CHALLENGE.
  • Selected Southern California residents will participate in the clinic program at one of our 39 Lean for Life by Lindora Clinic locations
  • Selected entrants who live outside Southern California will participate by using our Lean for Life Online program.
  • All selected participants in the Challenge will receive their programs free of charge. All participants agree to participate in an event announcing the winner on DATE in Los Angeles.