Completing Your 12 Week Program

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Over the past 12 weeks or the duration of the program

Describe your progress in terms of what you now know that you did not know before.

Describe your progress in terms of your ability to produce results in your life.

Describe your progress in terms of how you relate to yourself.

Describe your progress in terms of how you relate to others.

Describe your progress in terms of how you handle tension/stress/anxiety

Describe your progress in terms of what you learned about yourself.

How will you keep your momentum?

If someone you cared about was considering participating in this course, what would you tell them?

What would you like to tell your coach?

PAY IT FORWARD

Depending on your financial agreement, you may have paid for the course, agreed to fundraise your tuition, and/or been on a scholarship. The only way we can offer these options, so that EVERYONE can participate, is through the generosity of those that have completed the course. This is your opportunity to pay it forward. If you truly believe this course has added value to your life, now is the time to say thank you and pay it forward. If you are willing to make a donation to ensure others can have a similar experience that you just had, please do it here: https://www.badassdiabetic.org/donating If you would like to create a fundraiser to help out, please check out: https://www.badassdiabetic.org/fundraising-ideas and https://www.badassdiabetic.org/participant-worksheet THANK YOU FOR YOUR PARTICIPATION!

Video Clip