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First off, what's your email address?

What's your full name?

How did you hear about MWOD?

Where do you live (City, State, Country)?

What is your gender?

What's your phone number?

What excites you most about becoming an MWOD?

What scares you most about becoming an MWOD?

If you had a personal complaint about your habits, routines, or body right now, what would it/they be?

If you could wave a magic wand and transform your current reality into anything you wanted, what would it turn into?

What other avenues/programs/resources have you tried in the past?

Describe in one sentence where you think you'll be in 5 years if things don't change.

How likely do you think the change you seek is even possible, given your current strategies?

Where 0 means no chance and 10 means it's as good as done.

If the exact change you're dreaming of actually happened, how valuable would it be to you? Answer however you wish.

Describe a team/group/community you’ve been a part of in the past where you experienced the most growth. Comment on any challenges that came with participation.

If you were accepted to become a FUTURE MWOD, will you commit to all of what's required to participate to the absolute best of your ability?

If there was something you're aware of that may get in the way of your full participation, what might that be?

If you are accepted to become a FUTURE MWOD, who would you like to invite to join you?

Write their name(s) below. Note: We will not contact anyone. We invite you to invite them today. Past FUTUREs have found MWOD to be even more enjoyable with a friend.

Do you have any unanswered questions about MWOD? If so, ask them below.

How did you hear about MWOD?

Other:

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Roger that, Houston

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ARE YOU READY FOR CHANGE?