“Change Your Story” Challenge!How to ApplyPlease 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 & BackgroundName*Email*Home AddressPhoneAgeOccupationHeightCurrent weightGoal WeightCurrent size (Dress/Pants)Before PhotoAfter PhotoAre 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 linkWhy 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 1How 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.