Intermittent Fasting With Dy ~ A little about you!! If you would like Dy Ann to get to know a little more about YOU, then please complete this form. Name* First Last I am currently enrolled for the month of:Confirm Email* Number You Can Receive TXT Messages To*FACEBOOK URL: www.facebook.com/usernameWhat most interested you about joining this group?*What concerns do you have about FASTING?*What is your age?*35-3940-4445-4950-5455+Have you or are you currently experiencing*Infertility IssuesPeri Menopausal SymptomsMenopauseLoss of EnergyLoss of MemorySudden need for reading glassesSudden Food IntolerancesDiagnosed with an Auto Immune DisorderLeg CrampsNight SweatsAre you finding it difficult to....*Sleep through the nightLose weightExerciseManage Your DayNight SweatsComplete Simple Daily TasksDo suffer from....* Sudden Weight Gain Bloating Water Retention None of the above. Are you currently*VeganVegetarianDairy FreeSoy FreeGluten FreeNone of the above but would like to learn more about their benefitsMore than one of the aboveAre you currently taking any prescription medication? If so, please list them below.Do you take any supplements? If so, please list them belowHave you recently been diagnosed with a health related condition?*Please share a little bit about you, with me!!*Anything else I should know before we start?