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Question 1 of 14
I Have Previously Struggled With
Binge-Eating (binge defined as overeating a food or foods)
Body Image Issues
Hyper-Restriction of Foods
Nutrition Confusion - Not Knowing How to Eat
Question 2 of 14
My Most Important Goal Is
Change Body Composition
Learn How to Eat Better
Stop Bingeing on Certain Foods
Change My Mindset
Question 3 of 14
Any Other Goals You're Chasing Not Listed?
Question 4 of 14
If you have a weight loss goal, how much weight do you wish to lose?
16 Pounds +
I don't have a number in mind
No Weight Loss Goal
Question 5 of 14
What Have You Tried in the Past?
Weight Loss Surgery
Other - Anything I've Tried it All
Question 6 of 14
Why Have These Diets Failed?
Didn't Fit My Lifestyle
Made Me Sick
Worked for a While and Then Stalled
It was Too Much Work
I Lost Interest
I Missed Certain Foods
I Hated It
I Lost Motivation
Question 7 of 14
What are you willing to do to reach your goals?
Track Food Consumption
Implement or Increase Exercise
Read Materials/Educate Yourself More
Food Prep/Cook at Home More
Set Aside Time Daily and Weekly for Myself
Explore My Relationship with Myself
Question 8 of 14
What are you NOT willing to do in order to reach your goals?
(Some of us know what does NOT work for us and THAT IS OKAY!)
Question 9 of 14
How does your current state of health/fitness affect your emotions?
Question 10 of 14
What will happen if you do nothing at all to chase your goals?
Question 11 of 14
What is holding you back from reaching your goals?
Question 12 of 14
If I could buy a magic wand that would allow me to reach my goals overnight, I would pay
Anything - reaching my goals is priceless.
Question 13 of 14
Is there anything else you want me to know about you? Tell me!
Question 14 of 14
I want you to contact me. The best way to do so is:
Do not contact me