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How often do you work out each week?:
1-2 times per week
3-5 times per week
6 or more times per week
I don't work out
What is your primary fitness goal?:
Gain muscle mass
Lose weight
Tone up
Improve general fitness level
Do you like to exercise with a buddy or alone?:
With a buddy
Alone
Depends on my mood
What’s your favorite form of exercise?:
a) Running
b) Lifting weights
c) Group sports
d) Aerobics class
e) Dancing
On average, how many hours of sleep do you get each night?:
Less than 5 hours
5-6 hours
7-8 hours
More than 8 hours
How many meals do you eat per day?:
One or two
Three square meals
Four or more
Do you eat breakfast?:
a) Yes, I always do
b) Yes, if I have time
c) Occasionally
d) Never or almost never
How often do you dine out?:
Once a week
Once a month
More than twice a week
Most of my meals come from restaurants
How much TV do you watch each day?:
About an hour or less
2-4 hours
More than 4 hours
I don’t watch TV
What’s your biggest weight loss challenge?:
Getting started
Breaking through a plateau
Lack of time
Maintaining
How often do you weigh yourself?:
a) Every day
b) Once a week
c) Once a month
d) Rarely or never
How often do you let yourself indulge in a treat?:
a) Every day
b) About once a week
c) A few times a month
d) Never
Have you ever tried a detox diet? :
a) No, but I’m interested in finding out more about them
b) No, they don’t seem safe to me
c) Yes, and I found it very helpful
d) Yes, but I didn’t see results
e) I’ve never heard of a detox diet
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