Share Your Impromy Results

Share Your Impromy Story

Name*
First Last
Email*
Contact Phone Number*
State*
Date of Birth*
Your Height (cm)*
Starting Weight (kg)*
Current Weight (kg)*
Total Weight Lost (kg)*
How long did it take to lose the weight?*
e.g. 12 weeks or 2 months or 64 days
Starting blood sugar & current blood sugar
Starting blood pressure & current blood pressure
Starting total cholesterol & current total cholesterol
Tell us the reasons why you love Impromy and how it has changed your life*
Tell us about how you got started with Impromy and why you joined?*
Tell us about your life before you went on Impromy & how did you feel?*
How has Impromy changed your life?*
How has the program affected your eating habits & diet?*
Have you experienced any medication dose reductions or any notable improvements to your health since starting Impromy?*
What would you say to others considering going on the Impromy program?*
What role does your pharmacy consultant play in the program?*
How have you used the mobile app while you've been on the program?*
What did it mean to you that this program was developed in collaboration with the CSIRO?*
Before Photos
Maximum file size per image: 2MB
Drop files here or

Accepted file types: jpg, jpeg, png, gif.
After Photos
Maximum file size per image: 2MB
Drop files here or

Accepted file types: jpg, jpeg, png, gif.
Permission*
- I give Impromy permission to use my testimonial
Thank you for your testimonial contribution and/or photos to Blackmores Limited in support of the Impromy program. By checking this box you are giving consent for your testimonial or success story to be used by Blackmores Limited (the trustee of Impromy) for marketing purposes. You are not obliged to do anything or give anything up; you are simply allowing the Impromy team to use your story. In checking this box you agree to grant Blackmores Limited a royalty-free, irrevocable non-exclusive licence to publish and otherwise use the material in any media. In contributing your testimonial, you warrant that you are the copyright holder or have the permission of the copyright holder to send us the material and to use it as described above.

SHARE YOUR IMPROMY RESULTS

Share Your Impromy Story