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Nouri Kin — Commitment Application

Full Name

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Phone Number

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Email

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Readiness & Commitment Are you willing to commit to a structured, uninterrupted 90-day program with no resets or shortcuts?

Untitled multiple choice field

A

Yes

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B

No

Do you understand this program is discipline-based, not coaching-based, and does not adapt to personal preferences?

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Do you understand this program is discipline-based, not coaching-based, and does not adapt to personal preferences?

A

Yes

B

No

Have you tried programs before but struggled with consistency or restarting?

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Have you tried programs before but struggled with consistency or restarting?

A

Yes

B

No

Are you currently looking for a medical treatment, diagnosis, or therapeutic program?

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Are you currently looking for a medical treatment, diagnosis, or therapeutic program?

A

Yes

B

No

Medical & Responsibility Disclosure

Required checkbox (cannot submit without it):

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Required checkbox (cannot submit without it):

I understand Nouri Kin is a non-medical, non-therapeutic lifestyle program and does not replace medical care.

I accept full responsibility for my participation and agree to consult a licensed professional if I have medical concerns.

Refund & Terms Acknowledgment

Refund Checkbox

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Refund Checkbox

I understand that all sales are final.

Once accepted and enrolled, no refunds are issued under any circumstance.

Final Confirmation

Are you willing to take full responsibility for completing the 90-Day Commitment without external accountability, coaching, or reminders?

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Are you willing to take full responsibility for completing the 90-Day Commitment without external accountability, coaching, or reminders?

A

Yes

B

No

C

I'm not really sure yet

D

I just want to try something new

Can you follow a fixed structure exactly as designed, even if it feels unfamiliar or challenging at first?

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Can you follow a fixed structure exactly as designed, even if it feels unfamiliar or challenging at first?

A

Yes

B

No

C

I'm not really sure yet

D

I'm ready to try something new

Do you have the capacity to prioritize daily nourishment, hydration, and routine for the next 90 days?

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Do you have the capacity to prioritize daily nourishment, hydration, and routine for the next 90 days?

A

Yes

B

No

C

I'm not really sure yet

Why are you ready to commit now --- Not Later?

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