Basic Program Registration Estimated Time: 1 minute Number of Sections: 1 This is a simple program registration form. A follow up email will be sent to indicate whether or have successfully enrolled in the test group. General Information First Name: Last Name: Email address: How ready are you to commit to change?---Extremely readyReadySo soFind it difficultNot ready Do you have 15 minutes a week to dedicate to the community?---YesMost likelyToo busyNot sure Thank for your interest.You can expect to recieve an initial response within 2-3 days.