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Survey

Health Survey


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No timeNot hungryLess calories
Other:   








nevermid morningmid afternooneveningseveral times per day


Are you satisfied with your weight?
Yes
no, I would like to lose   
no, I would like to gain  

Do you do sports or exercises?
noyes, 1x per weekyes, 2x per weekyes, 3x per weekyes, +4x

Would you like to know more about an easy, healthy breakfast?
yesno

Would you like to have a free Wellness Evaluation to know your muscle mass, water and fat %?
yesno

How did you find our site?


Reference:    
While surfing the internet
Newspaper:  
Flyer
Through a friend
Other:            

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