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Please Read the Following Statement: This website is not a free online weight loss service and DOES NOT provide free online meal plans
or fitness routines to the general public. The Body Focus EZDietPlanner & Fitness Tracker™ software is available to you when you become
a patient of a licensed physician offering the Body Focus System™ in their practice. Please fill in the form below only if you're interested
in a FREE face to face or telephone consultation with a provider in your area and someone from their office will contact you to schedule
an appointment. In some cases, weight loss programs are covered by health insurance. This will be explained during your FREE consultation.

* First Name:

* Last Name:

*  City:

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* Your Email Address:

*  How did you hear about Body Focus and The Body Focus website?:

* What are your top health & fitness goals? (Choose all that apply) :










Additional Goals: (e.g. Lower cholesterol)

* What are your primary areas of concern?:










* Describe which body shape best decribes you.:




* How frequently do you exercise?:

* What is your current weight in pounds?:

* What is your height?:
ft. in.

* What is your age?:

* What is your weight loss goal?:

* Have you tried a weight loss program in the past?:



If you answered yes to the question above, which program in the past did you try?:

* Are you currently on a weight loss program? :



If you answered yes to the question above, which program are you presently on? :

* What type of consultation would you prefer?:




Phone:
If you selected either face to face or telephone consultation in the question above,
please enter the best telephone number for us to reach you.

Birthday Club:

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Stay hydrated...

watterOn average, we should drink one liter of water daily (drink an extra 8 oz of water for every 25 pounds overweight). This amount should increase if you are exercising or in extreme heat.

Laser hair removal for men?

rippedIf you thought laser hair removal was just for women, guess again. When it comes to removing unwanted hair, aestheticians report men and women are dead even in this department.