Laurie Rock

Congratulations on taking a powerful step

towards choosing YOU!

To help you decide how this program will work for you,

please take 2-3 minutes to answer the questions below.

We are excited to see what is possible for you

at your next best level!

First Name *

Last Name *

Email *

Phone *

We promise to only send important updates and details on upcoming events

City/State/Country /Time zone *

How did you hear about us?

Can you tell us who told you about us? Write N/A if none. *

What prompted you to reach out? *

How many programs have you tried? *

We get it! We have been there.

We used this exact program and now have Freedom around food and vibrant health! AND SO CAN YOU!... It's very possible that you are already eating "healthy" and STILL not getting the results you want.

If you are struggling with excess weight, health challenges, or have a medical diagnosis, what do you believe is your biggest challenge? *

Please share any information you feel is important about your health condition or diagnosis.

If you have ever given up on a health plan/ diet in the past, please tell us in your own words why you feel it didn't work. *

Have you ever done a health plan that REALLY worked for you? Tell us what worked and what you liked about the program. *

Kindly indicate here your answer if you tick the other in the question above.

Who else would benefit from your success with the Healthy Thriving Woman Adventure? *

Kids

Family

Community

Other

Kindly expand your answer if you tick the other in the question above.

If you had a magic wand and you committed to the 90- Day Healthy Thriving Woman Adventure, what would the top 3 results be and what would the top 3 feelings you would have most of the time once you successfully complete your transformation? *

Are you ready to end dieting forever and create food freedom?! *

Yes!

Definitely Yes!

What is going great in your life today? *

What is the best time to reach out to you to connect? *

Our next challenge is starting soon! Let's chat about how we help you create true food freedom and vibrant health! We will be in touch once we receive your questionnaire. We are honored to get to serve you! Rooting for you BIG TIME! - The Healthy Thriving Woman Team *

Can't wait!

So thrilled- tell me more!

Would you like to receive our Thriving Thursday Pocket Coaching? (You will receive uplifting helpful tips in health and life mastery? *

Yes

No

I agree to terms & conditions provided by Rock Happy Living LLC. By providing my phone number, I agree to receive text messages from Rock Happy Living LLC.

What if you felt even more amazing, healed what needed to be healed, and deeply enJOYed YOU?

We'd love to meet you and support you in your journey to a THRIVING LIFE!

Please join us in our FREE Thriving Woman Facebook Community

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