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What is your main health and fitness goal?
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Lose weight
Build muscle
Improve energy level
Improve overall health
How much weight are you looking to lose?
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Less than 10 lbs
10–20 lbs
20–40 lbs
More than 40 lbs
How would you describe your current diet?
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Very unhealthy
Could be better
Fairly healthy
Very healthy
How active are you currently?
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Not active at all
Lightly active
Moderately active
Very active
How many times per week do you exercise?
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Never
1–2 times
3–4 times
5+ times
What is your biggest challenge when it comes to losing weight?
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Lack of motivation
Unhealthy cravings
No time to exercise
Don't know where to start
How long have you been struggling with your weight?
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Less than 1 year
1–3 years
3–5 years
More than 5 years
Have you tried weight loss programs before?
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Never tried
Tried but failed
Some success
Yes and it worked
What is your age range?
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18–29
30–44
45–59
60+
What is your first name?
Where should we send your personalised results?
*
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