Nutrition and Lifestyle Survey

My name is Sean Richmond and I'm doing some research for my coming weight loss program. I am very interested in your opinions and experiences about weight loss! I have posted a short survey below. I would very much appreciate if you could spare a couple of minutes to answer this survey. I know time is precious, but YOUR input will be greatly appreciated. Please copy the questions and send them with your answers to:
email removed - you can post your answers to this forum, or send a private message as we do not condone the collecting of email addresses.
- Adminsistrator


Blessings,
Sean Richmond

1. Which of these words best describes your own lifestyle?

a. calm
b. active
c. stressed

2. Do you think you get 100% of the daily nutrition needed for good health?

a. yes
b. no
c. sometimes

3. Do you take nutritional supplements (vitamins/minerals/proteins)?

a. daily
b. never
c. sometimes

4. Do you experience a loss of energy during the day?

a. yes
b. no
c. occasionally

5. Do you, or does any member of your family or friends need to lose, gain or maintain weight?

a. lose weight
b. gain weight
c. maintain weight
d. can't say for certain

6. Approximately how much weight do you/they need to lose?

a. You _____lbs.
b. Family _____lbs. _____lbs. _____lbs.
c. friends _____lbs. _____lbs. _____lbs.

7. Have you treid diet programs in the past?

a. Yes, which ones?_________________________
b. No

8. Do you eat a variety of healthy food from the basic food groups every day?

a. Yes
b. No

9. If no, why not?

a. Not enough time for shopping/preparation
b. Too expensive
c. Too complicated

10. Are you interested in learning about a nutritional program to control weight while still eating the foods you like, without feeling hungry?

a. Yes
b. No

Once again, thanks for all your help=)
 
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