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Who do you resemble when stressed or in diet mode?
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1
What’s a reason you would most likely miss lunch?
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I don’t feel like I need it
I had too big of a breakfast
My day got busy
Lunch is skipped often, no big deal
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2
How much time do you spend thinking about food?
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Every second and it’s all-consuming
If I am dieting, I think about food often
Only around meal times
I’m always thinking about my next meal
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3
What would be the most probable reason you would try a gluten-free diet?
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My friend told me to try it
I believe gluten is bad for me
I’m trying to eat lower carb
I’d never try it, I love foods with gluten
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4
After a bad or stressful day at work, you are more likely to do what?
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Grab a drink with a friend
Go to the gym, work off my stress
Pour myself a glass of wine before I sit on the couch and watch tv
Enjoy some sort of comfort food
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5
What diet would you most likely try?
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Vegan or plant-based
Juice cleanse or detox, sounds interesting
Low carbohydrate diet, carbs and sugar are bad
Weight Watchers, I prefer number systems
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6
Why would you be reading a nutrition label?
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To appear as if I give a sh*t
Checking calories, I am trying to keep an eye out on this
Out of curiosity, I heard it is good to look at the label
Read the ingredients, I avoid eating certain things
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7
Why would you get on a scale?
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Daily habit, I always need to know
I don’t really use the scale
Doctor’s visit
Measure of success or failure
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8
When you see cupcakes you think
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I can’t eat cupcakes
Celebration! I wonder what flavor they are?
I’ll try to only have one
I shouldn’t eat it. Oh okay, why not. I’ll cut back later.
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9
When your stomach growls you are more likely to….
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Eat something within 10 minutes
Tell myself I can wait, it isn’t time to eat yet
Stomach growling? I hate feeling hungry because it makes me feel uncomfortable
Find something to eat, you don’t want to see me hangry
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10
If you were to order a cheeseburger, how would you typically order it?
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Classic style, I’d like it even better with bacon
All the works, I can work it off tomorrow
I can’t relate to ordering that
Ask with a side of sweet potato fries and extra pickles
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11
What is your favorite type of exercise or movement?
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Yoga or Pilates
Walking
Running and HIIT
Strength training
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12
Your typical New Year’s Resolution relates closest to…
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I don’t make them
Different every year
I’ve got to lose the holiday weight
Get in shape!
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13
When you think of binge-eating, what first comes to mind?
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I can’t imagine it, seems like way too much food
I think I struggle with binge-eating
I have experienced binge-eating maybe once or twice in my life, but not often
I empathize for people that struggle with that
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14
How would you most likely respond to someone asking you do to a favor that wasn’t initially planned in your day?
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Say yes, happily, no over thinking
Begin worrying how it will impact your day, say yes
I probably owe them one, say yes
Yes or no, depends on my mood that day
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15
If someone were to ask you to try out a local breakfast spot, what would you most likely order?
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Anything off the “healthy” section
Eggs, toast with butter, bacon and I might pick off of someone else’s plate
I’d ask the server their favorite options and pick from there
Screw it, I’m getting loaded French toast, I’ll do better tomorrow
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16
Name
First Name
Last Name
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17
Email
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18
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