Newest Motivational Fat Loss & Healthy Living Techniques
First Name (required)
Last Name (required)
Your Email (required)
Have you seen a dietitian in the past?
If yes, was it helpful? Why or why not?
List any diets you have tried (commercial diet programs, from books, and those that you have developed yourself). Give a brief description of each diet.
Do you skip meals?
If yes, which meals do you skip and how often?
How many times per week do you eat at restaurants?
Please describe your exercise routine and amount of physical activity (type, frequency, time).
Please mention on a scale of 1 to 10 how CONFIDENT you are that you can change your eating behaviors
Please mention on a scale of 1 to 10 how MOTIVATED you are that you can change your eating behaviors
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