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First, what is your name?

First Name

Last Name

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bodyPercent Calculation

5

consistencyPercent Calculation

7

energyPercent Calculation

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Your energy is crucial because sleep and stress play a surprisingly big role in your ability to learn healthier habits.

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Next up, which diet plan(s) have you tried in the past that did not work as well as you had hoped? Please select all that apply.

“Seafood” (I see food, and eat it)

Intermittent fasting

Keto

Paleo

Raw foods

I have not tried any diet plans

Other

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And looking toward the future, which diet plan(s) do you feel give(s) you your BEST shot at success moving forward? Please select all that apply.

Vegetarianism

Keto

Weight Watchers

Raw foods

Paleo

Gluten-free

Intermittent fasting

I don’t know

Other

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You are doing GREAT! A LOT of people have tried that as well. And the GREAT news is, Pavlok can be a BIG support when it comes to following through on your goals!

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Which avatar best represents you?

1

2

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What's your gender?

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avatarImage

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Next up, how aware are you of your emotions while eating food?

Not aware at all

Slightly aware

Somewhat aware

Very aware

Extremely aware

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awarenessPercent

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Good job! Please enter your email address to complete the survey.* This field is required.

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What's your phone number? (optional)We’ve found that habit change works differently depending on your habit personality type. We’re choosing a single personality type to focus on. If you match, our habit coach will contact you by SMS.

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Thank you! Click submit to find out how Pavlok can help you.