UnF*ck Your System App

Hey there!

I am excited for your interest in this group.

Before we move forward, I would like to understand a little more about you and be sure this is a good fit for where you are in your journey.


Warmly,
Kelly Ann

Your Name (required)

Your Email (required)

Your full mailing address (required):

1. What is your desired outcome in participating in this group?:

2. Are your meals and snacks typically made up of whole foods (veggies, fruits, meats), processed foods (crackers, frozen meals, chips), fast food (take out, drive-thru, convenience store), a combination of all?

3. Are you currently taking any medications?

4. Why this? Why now?

5. Are you willing to take full responsibility for your participation in this group?

6. Is there anything else you'd like me to know?

Thank you! Once I receive your responses, I'll be back in touch via email with the next steps.

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