Would you share your story?
Undergoing weight loss treatment involves much deliberation, but we believe that once you’ve made the decision, the results are worth exhibiting. What better way to do this than to feature in the press and tell your story? We fund your expenses and offer an incentive if your story is published (and sometimes the media offer this too). It’s something that could open the door to many other opportunities for you.
Only you can decide whether or not to be featured in the UK’s most popular magazines, newspapers or online, but if think this is for you, just let us know. All we require are some basic details and your signature.
Drop this form into any of our clinics or post it to us, and we’ll be in touch!
Questionnaire
Contact/personal details
Name:
Gender:
Date of Birth:
Address:
Home Telephone:
Mobile:
Email:
Occupation:
Your procedure:
Procedure(s):
Date(s):
Reason for surgery:
Cost of surgery:
Funded by?:
Contact/Personal Details:
Life after surgery:
Your career:
Your love life:
Was it a secret, and if so, why?:
How has life changed?:
Agreement
I hereby understand and agree that my story and before and after photos can be used by Transform Hospital Group and its PR company within a media context, including advertising, brochures and the internet. I give Transform Hospital Group permission to release my surgery photographs to the appointed public relations ompany.
Signature…………..………………………………….
Date……………………………………………………
Please return this form to us at any clinic, or email [email protected].