Reshape Fragebogen English

1

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

2

May I also know your age?...you know, age is just a number

3

What motivates you most to achieve your goal?* This field is required.

Improve my health

Improve my performance

Improve my appearance

To fit into my old jeans

Have more Energy

Other

6

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

Regularly

Only if I feel like it

Sometimes

Never

7

Which food groups do you like the most?Select as many as you like

Fruits

Vegetables

Proteins (meet, fish, egg)

Carbs (bread, rice, pasta)

Sweets and snacks

All

8

Do you have food allergies or intolerances?

YesNo

9

What is your favorite dish?

10

What is your profession?I would like to roughly assess your everyday situation with it.

11

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

1 = not that strong

10 = very strong

12

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 motivation

Lack of knowledge and understanding

Unhealthy habits

Health problems

My enviroment

Other

13

ALMOST THERE! How can I contact you so that we can get to know each other, and I can tell you more about my concept?* This field is required.I take data privacy very seriously; I only use your data to be able to reach you personally.

Please enter your email

Please enter your county code

Please enter your phone