What is your age range?
Under 30
30-39
40-49
50-59
60-69
70-79
Over 80
Are you a woman or a man?
Woman
Man
Prefer not to say
How much weight would you like to lose?
5 lbs
6-10 lbs
10-20 lbs
20+ lbs
Which of the following most closely describes how you feel about your body?
I’m pretty thin, but would love to feel healthier, more toned, and have better energy
I have a few pounds I’d like to lose to help me feel more confident in my body
I want to lose 20+ pounds and see a transformation in my body and lifestyle
Which of these foods are you most likely to indulge in when you have the chance?
Sweets and desserts
Pasta, bread, and rice
Steak, BBQ, and bacon
Milk and cheese
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