Balance 10 Profile

So you made it to our website for balance. Have you tested your life balance yet? If not, take a moment to try the LINK below to complete the survey. There is a short page explaining the steps and ten simple questions. You will be able to e-mail the results directly to you and see the result immediately upon completion of the survey questions.

Then it comes to completing this application form to be included in Wayne Warrington's Balance 10 Program for 2011. Wayne has formed a team of experts in 10 areas of life to help you achieve your dreams and goals in life. Here is what you can expect from the program this year.

First it can change your life for the better. Guaranteed! You simply need to stay involved each month.
11 Booklets will be delivered to you covering the Balance10 program and how you can and WILL be able to achieve your goals in life.
10 Master Mind sessions that you can attend over the course of the year. These are available via telephone and are designed to have your questions answered by well known experts in the related field.
Follow up progress evaluations and work sheets to make sure you are staying on course and have the support you need to achieve your goals.

As you complete the form below, be as accurate as you can. If you need assistance with the areas of your life that you should concentrate on first, use the link below to test your balance and receive a graphical chart to visually identify those areas.

Test Your Balance Here

Full Name:

Age:

Mailing Address:

City:

State:

Zipcode:

Phone:

E-mail:

Please confirm your e-mail:

Male/Female:

Please tell us how you heard of the Balance10 Contest:

What is the Number 1 area of your life you would like to improve.

What is the Number 2 area of your life you would like to improve.

What is the Number 3 area of your life you would like to improve.

What is the 4th area of your life you would like to improve.

(Keep in mind, as we progress throughout the year, other areas that you wish to enhance will become available for our Lifestyle Experts to assist you with. The above are just so we can get you started and create a plan for your participation during the first 60 days.)

Describe what you would like to achieve in your life during the coming year: Please note, this box will only send your entire comment if you keeping typing and do NOT hit the return - enter key. That will break up the statement and we will only be able to read the first line. .

A confirmation within 48 hours will be sent to you via e-mail to confirm your acceptance into the Balance10 program. Best of luck to you and here is to adding true BALANCE to your life in 2011 and beyond!