CURVES OF ALOHA
20229 S.W. Tualatin Valley Hwy, Aloha, OR 97006
Tel: (503) 356-5454 Email: info@aloha.com

Here is Where You Create YOUR Future Success Story

"If you can visualize it, it can happen!" What's keeping you from visualizing changing your life? Do voices in your head stop you with: "I don't have enough time; I'm too overweight and out of shape; I'm too embarrassed; My physical condition won't let me." If you take just a few minutes to fill out the form below you're on your way to silencing those voices FOREVER.

As you answer the questions you're creating your own Success story! With each answer take a few seconds to visualize what you just wrote down and BELIEVE that picture IS you! When you finish, email the form to us here at Curves to keep on record for you. When you come visit us we can go over it together to plan how you WILL accomplish the success story you created - with a program that works!

Our Curves program is creating new Success Stories every day for over 4 million women worldwide. YOUR PICTURE belongs with them.
My Name is :
This is My Success Story
(Answer the questions on this form as if right now, today, was in the future. Before you start, create a mental picture of YOU in that future without the extra weight and at a fitness level that you only dream about now. )
(Fill in date when you really WILL commit to change your life:)
Date I committed to change my life on: of , 2007
(Fill in a FUTURE DATE when you WILL have achieved your goals. Imagine on this date that you will BE WRITING your own Success Story and YOUR picture is on this page)
Today of , I am writing MY Success Story!
I have lost a total of pounds, inches, and dress sizes!
I NOW HAVE
(Select as many as you want)
    more energy
    a much better self-image
    more self-confidence in every area of my life
    a much healthier lifestyle
    happiness in my life every day
I CAN
    "play" more and feel free!
    do things I never thought possible when I started
I KNOW I
    feel and look younger
    didn't believe this was possible when I started!
I am thankful every day for:
(Fill in ALL the reasons that you really be thankful for when you have lost that extra weight and gained that fitness level)
How I Started My Success Story Plan:
I was motivated to start my Success Story Plan for the following reasons:
(Select as many as you want)
    Dr. said critical that I lose weight and start exercise
    Afraid of getting Diabetes (runs in my family)
    Wanted to feel good about myself again
    Injuries sidelined me from sports, gained weight yearly
    TOTALLY fed up with how I looked and felt all the time
    Read regular exercise can give you more years on this earth
    Saw picture of myself , couldn't believe that was me
Other reasons:
(Fill in any other reasons that would motivate you to start your Success Story Plan)
At that time I started my plan I weighed over pounds.
I knew a real key to losing weight was regular exercise and :30 minutes, 3 times a week an ideal way to start.
I knew I really COULD fit :30 of exercise in
So I made the commitment to exercise EVERY:
    Mon Tues Wed Thurs Fri Sat
Then I read the Curves Success stories (click to read them) and how their :30 total body workout was working for so MANY women just like me. I discovered Curves also had a weight management program that was easy to follow and really worked.
I sent (submit button below) my Success Story plan to my local Curves for help and inspiration and the rest - as they say - is "History"! What a wonderful history it is!
* Signed:
* Email:
* Verify email:
* Phone #:
Preferred contact:
 Phone Email No preference
Best contact time:
 Day Evening Anytime
Print multiple copies of this form and put in all the places you can think of as a constant reminder of what
your future can TRULY BE!

All correspondence is strictly confidential. We respect your privacy. We collect information on or through this site that can personally identify you only when it is voluntarily offered by you. Our purpose is strictly to respond to your comments and questions. If you email us your Success Story you are under NO OBLIGATION to make an appointment, visit or join our Curves.