V2 Pre-payment health survey

1

Right now, Torch is only available for people with certain BMIs. To calculate BMI, we will need your weight and height.

2

To calculate your BMI, enter your weight and height:

3

Do you believe healthy, sustained weight loss improves quality of life and overall well-being?

YESNO

4

How long have you been trying to lose weight?

Over a decade

A few years

6-12 months

Less than 6 months

5

Of the following nutritional approaches, which have you tried to lose weight in the past?Select all that apply.

Calorie counting/restricting

Cutting out certain foods and/or food categories

Using a “food philosophy” like Keto, Whole 30, intermittent fasting, etc

Commercial weight loss program (e.g. Weight Watchers, Jenny Craig, or Nutrisystem etc)

Meal replacements

Other

None

6

Has anyone in your family struggled with their weight?

YESNO

7

Which of the following motivates you to lose weight?Select the one that is most relevant.

Improved quality of life

For my family/kids

Gain more energy

Increased confidence

Fit better in my clothes

Other

8

Congratulations! You qualify for a Torch 30 Day Free Trial.Enter your email and click "submit" to view your special offer.

example@example.com