Share My Lose It! Story

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Name (First and Last)* This field is required.

2

Phone NumberUsed only to get in touch for PR opportunities (we will email first).

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E-mail so we can get in touch* This field is required.Our marketing and PR team will reach out directly if there are any additional opportunities to showcase your story

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City, State, Country* This field is required.

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What is your age* This field is required.

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What are your pronouns?

she/her

he/his

they /them

prefer not to say

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What race and/or ethnicity do you identify as?

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Occupation

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Did you have any medical procedures to aid in your weight loss?* This field is required.

Yes

No

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Are you a Premium member?* This field is required.

Yes, currently Premium

Have tried Premium

Have never tried Premium

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How long have you been using the Lose It! App?* This field is required.

Less than 1 month

Less than 6 months

6 - 12 months

More than a year

More than 2 years

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How did you find out about the Lose It! App? * This field is required.

I heard about it from a doctor

I heard about it from a friend or family member

I saw an ad

I saw it on social media

I heard about it in an article or the news

I found it in the app store when looking for calorie counters.

Other

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If you have an Instagram account, please provide your profile nameThis will be used to tag you if we decide to share your story on our social media channels. Ours is @loseitapp!

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How much weight have you lost in total?* This field is required.Please give us your weight when you started using Lose It!, your current weight, and the total amount of weight lost.

Starting Weight

Current Weight

Total Pounds Lost

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Which other apps, scales, trackers, or devices have you used to support your weight loss, if any?

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Which tools and features of Lose It! are your favorite? (We know, it's hard to choose.)

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Tell us your epic weight loss story.Helpful thought starters: How long have you been aware of being overweight? When did you decide to start losing weight? Did you do it alone, or have support? What were some of the most emotional moments for you?

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What did a typical day of eating and/or exercising look like before your weight loss? What does it look like for you now?

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If you could give your best advice to people trying to lose weight, what would that advice be?A numbered list is great!

Feel free to do a numbered list.

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Photo 1 (Before)

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Photo 2 (After)

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Photo 3 (Optional)

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Please upload a screenshot of your Lose It! log to show us what a typical day of tracking looks like for you:

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Videos Do you have videos of your workouts, making a meal, or other healthy activities? Share it here!

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Ideas: Your fav app screenshots of your logs or weight chart!

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Max. file size: 1.0MB

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If there is anything else you'd like to add, please send it to us here:

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Authorization* This field is required.I hereby authorize Lose It! and its parent Company FitNow, Inc. (“Lose It!”) to use my submitted testimonial content (including any pictures, my name and physical health information), in whole or in part, to advertise and promote Lose It! in social, digital or printed publications, newsletters, multi-media presentations or any other media now known or hereafter developed. I waive any claims that I or my heirs, representatives, or any other persons acting on my behalf or on behalf of my estate may have by reason of this authorization.

I authorize Lose It! to use my content provided in this form.