ask our doctors

LOST WEIGHT?

HAVE YOU OR HAS SOMEONE YOU KNOW LOST FIFTY TO ONE HUNDRED POUNDS OR MORE? IF SO, WE WANT TO HEAR YOUR STORY! WHAT WAS YOUR MOTIVATION? WHAT INSPIRED YOU? WHAT WAS YOUR FINAL STRAW? SHARE YOUR SUCCESS STORY, SHOW OFF YOUR ACCOMPLISHMENT ON NATIONAL TV AND BE AN INSPIRATION TO OTHERS!

Tell us your story here:

Please type your contact information below:

first name:	*
last name:	*
birthday:	*
E-mail address:	*
street address:	*
additional address:
city:	*
state:	*
province/Region (if not in U.S.):
zip/Postal code:	*
country:	*
day phone:	*
evening phone:
cell phone:
are you willing to appear on the show:	Yes No *
children's ages?:

I understand and agree that I am submitting ideas to The Doctors for use by The Doctors show and web site in any manner whatsoever without any further obligation or compensation to me and that I have read and agree to the Terms of Use , which governs my submission.