Reverse Diabetes/Lower A1c Seminar ($10)
NO TICKETS WILL BE SOLD AT THE DOOR.
ADVANCED REGISTRATION AND PAYMENT IS REQUIRED.
Thursday, March 23, 2017: Silverlake Executive Campus,
41 University Drive Suite 400, Newtown, PA 18940
Only a few steps to go to confirm your reservation for our Masterclass Seminar on REversing Diabetes and Lowering A1c!
Payment is taken on the Eventbrite page. You will be directed to that page after you complete this form.
YOU MUST BRING YOUR EVENTBRITE TICKET TO BE ADMITTED.
Best Email (required for Email confirmation)
Mobile Phone Number
Mobile Phone Carrier (for confirming Text Message)
Have you been diagnosed with Type II Diabetes, pre-diabetes or have a high A1C?
Are you overweight and had difficulty losing weight or keeping weight off once you lose it?
How many pounds would you need to lose to be at your healthy weight?
Less than 25 pound
25 to 50pounds
51 - 75 pounds
over 75 pounds
Are you taking metformin, insulin or another medication to lower your blood sugar or A1c?
What do you consider your BIGGEST OBSTACLES to obtaining your optimal weight, controlling your diabetes or reaching you optimal health?
What have you tried to manage your weight or health problems that HAS NOT worked?
What other conditions do you have that you are taking medication for or under observation by a medical professional?
Right now I
Have the financial resources to invest in my health
Have access to the financial resources to invest in my health
I don't have any financial resources at all & I am going to keep my body right where it is
If someone advised me to spend $2,000 on my weight, diabetes, and/or health, I would
Know it's what any serious person needs to do to get healthy permanently
Would be a little intimidated yet with a proven system I would do it because I'm serious about reversing diabetes, weight loss & getting better health
Avoid it at all costs because I want to do things as cheaply as possible & would never do something that is not covered by my health insurance
Is there anything else you feel we should know or any questions you would like to be address in this seminar?
Finally, on a scale from 1 to Bruce Lee, how awesome are you?
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