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A SHORT SURVEY

by virtuosity

06/26/2007 - 19:49

HELLO. Can you spare me just two minutes? I am doing a survey on important health and wellness issues. Leave a comment with your answers please.

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 nutritional supplements needed for good health?  a. daily  b. never c. sometimes

3. Do you take nutritional supplements? (vitamins, minerals, proteins) a. daily b. never c. somtimes

4. Do you experience a loss of energy throughout 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. not sure

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

YOU_________________LBS.                                                                                                                                                                  

Family________________ lbs                   _________________ lbs          ______________lbs

Friends________________lbs              _________________lbs           _______________lbs

7. Have you tried diet programs in the past?     a. yes      b. no

8. Do you eat a variety of healthy foods from the basic food groups everyday? a. yes      b. no

9. If no, why not? Not enough time for shopping/ preparation, too expensive, 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

11. Please leave your email address in the comments and I'll contact you soon

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