Questionaire - Start the journey to YOUR feel - good weight by telling me a little more about yourself

1

HEALTHIER - FITTER - SLIMMER

WITH

THE NEW WAY TO YOUR

IDEAL BODY WEIGHT

2

Please tell me your first name so that I can speak to you personally. You already know mine* This field is required.

5

What motivates you most to reach your nutritional goals?* This field is required.Select as many as necessary

Improve my health

Improve my appearance

Have more energy

To feel good in my own skin

To fit into my old jeans

Something else

7

How often do you work out?* This field is required.

7 days per week

3-5 days per week

Sometimes

Never

8

Which food groups do you love the most* This field is required.Select as many as you like

Fruit

Vegetables

Protein ( meat, fish eggs)

Carbs ( bread, rice, pasta)

Sweets and snacks

All

9

Do you have food allergies or intolerances?* This field is required.

YESNO

10

What is your favourite foods? * This field is required.

11

What is your profession?* This field is required.

12

How strong is your desire to reach your feel-good weight?* This field is required.

1
2
3
4
5
6
7
8
9
10

Not that strong

Very strong

13

What is currently holding you back from reaching your weight loss goals?* This field is required.Select as many as necessary

Lack of time

Lack of knowledge & understanding

Lack of motivation

Unhealthy habits

Health problems

My environment

Other

14

Please add your contact details so we can get to know each other and I can tell you more about the concept?* This field is required.

Please enter your email

Please enter your phone number, including country code