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What is your gender?

Where do you tend to carry weight?

How would you describe your build?

What happens when you wrap your hand around your opposite wrist?

On average,how many times a day do you eat?

What happens when you diet?

What is your weight range?

What is your height range?

How would you describe your eating habits?

Have you ever been diagnosed with any of the following?

How would you describe your average activity level?

Have you had any lifestyle changes in the last 6 months?

Choose any of the following options that you feel are preventing you from reaching your weight loss goals:

What are your weight loss goals?

What is your age range?

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