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9
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Sleep quality
How many hours of Sleep do you get per night on average?
Less than 5
5-6
7-8
9+
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4
Exercise
How often do you exercise per week?
0-1 days
2-3 days
4-5 days
6+ days
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5
Stress level
How would you describe your daily stress levels?
very high
high
moderate
low
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6
Diet
How balanced is your diet?
mostly fast food or processed foods
somewhat healthy
pretty healthy
clean and whole foods
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7
Sugary drinks
How many sugary drinks (soda, juice, energy drinks) do you have per day?
3 or more
3
1
0
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8
Hydration
How many glasses of water do you drink daily?
0-2
3-4
5-6
7+
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9
Strength training
How often do you strength train or lift weights?
never
1 time a week
2-3 times a week
4+ times a week
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10
Score
metabolic score
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