You are a keto inspiration! We want to potentially feature you on our social media, website, and/or newsletter. Please fill out the following questionnaire.

  • Step 1

Who are you?

First Name

Last Name

E-Mail Address


Tell us some more about yourself...

Starting Weight

Current Weight


How long have you been following a ketogenic lifestyle?

What is your favorite keto meal/snack?



What is your favorite part of being keto?

What is the best advice you would give someone just starting out on keto?

Tell us about your journey to health. What made you start the ketogenic diet? What victories have you had? What is your biggest non-scale victory? What is your biggest hurdle? What are your health goals? This is your time to shine!

Please upload your images.

Before Photo

After Photo

Does have your consent to use your image/information? If yes, type your name in the answer box!