Free Weight Loss Assessment

This survey will help me tailor a weight loss program for you depending on your goals and answers to the survey questions below.

1What is Your Age? 

2What is Your Gender? 

3How Much Weight Are You Looking to Lose? 

4How Much Exercise on Average to You Do a Week 

5What Do You Have More Issues With? 

6What Do You Feel Is Your Biggest Obstacle to Losing Weight? 

7Subscribe me to your Weight Loss Newsletter for Helpful Tips! 

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