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QUESTION 1:
How many diet programs have you followed in the last 12 months?
None
1 to 3
3 to 5
5+
QUESTION 2:
What is your #1 health goal right now?
Burn fat, lose weight, and get into shape?
Build lots of lean muscle?
I am planning for a youthful future and want to eat a healthy, balanced diet
QUESTION 3:
Which of the following four body types best describes you?
Pear Shaped:
Slim through the shoulders and torso with muscular or naturally thicker bum & thighs
Long & Lean:
I had difficulty gaining weight in my younger years
Square Shaped:
Sturdy, stocky frame that is naturally strong
Inverted Triangle Shaped:
Relatively slim through my waist and hips but bulkier up top through the arms and shoulders
QUESTION 4:
What's preventing you from having your ideal body now?
Confused as to what I should do
I don't exercise enough
Poor diet habits
I can't stay consistent
QUESTION 5:
Along with energy crashes, mood swings kick in. How's your mood on a typical day?
I'm generally in a good mood throughout the day
I'm often irritable or short with others
I experience mood swings, feel occasionally blue and depressed
QUESTION 6:
How is your energy day to day?
I typically maintain a steady energy level throughout the day
I typically maintain a steady energy level but feel myself dragging before meals
I experience a post-lunch slump in energy
QUESTION 7:
How you process food can have tremendous impact on weight loss results. Do you experience stomach discomfort?
Never
Rarely, once a month or less
Twice a week or more
Constantly
QUESTION 8:
How many pounds do you need to lose, to reach your desired weight and body shape?
1-5 pounds
7-11 pounds
13-21 pounds
More than 21 pounds
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