Share Your Success Story!

Have you transformed your life and body through diet and exercise? Send us your inspirational story, pictures, and contact info for a chance to see yourself in the pages of SHAPE!

Please fill out the form below and send your Before & After photographs to: YouInShape@shape.com

FULL NAME: *

PHONE NUMBER: *

EMAIL: *

WHERE DO YOU LIVE?: *

AGE: *

HEIGHT: *

STARTING WEIGHT: *

CURRENT WEIGHT: *

POUNDS LOST: *

STARTING BMI: *

CURRENT BMI: *

How long have you kept the weight off?: *

Tell us a little bit about your weight history and why you think you put on the weight: *

When did you reach your highest weight? How old were you?: *

What was your biggest hurdle for losing weight? (Examples: food cravings, busy schedule, self-esteem issues): *

Describe your TURNING POINT. What made you finally decide to lose the weight?: *

How did you do it? (Please be specific about your exercise and nutrition routines and tricks): *

What is your workout schedule now?: *

Share Your Success Story!

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