Survey: Nutrition Survey

1

Which of the following has most undermined your weight-loss efforts in the past?
- Hunger pains and cravings that led me to cheat.
- Feeling low on energy
- Getting discouraged by slow results
2

What is your biggest complaint about diets you've tried?
- Preparing meals was time consuming and tedious.
- I got bored with the same bland diet foods
- I went high-protein, low-carb and felt awful.
3

Which of the following best describes your priorities when choosing a weight loss program?
- I want the best program for optimal weight loss.
- I want a program that includes protein snacks/treats
- I want to try a simple program at first
4

To be in your ideal weight, how many pounds do you need to lose?
- 4 - 7 lbs
- 10 - 20 lbs
- 20 - 30 lbs
- 40 - 100 lbs
- I do not want to lose weight, I want to gain instead.
- I mainly want to shape my body.
5

Which of the following best describes your energy levels on a weight-loss program?
- I often feel tired and low in energy.
- My energy levels tend to drop mid-morning and/or mid-afternoon
- I generally have plenty of energy.
6

Which of the following best sums up your beliefs about meal replacement shakes?
- They are not as nutritious or filling as a regular meal.
- They taste bad and/or leave you hungry.
- They are a great way to achieve your target weight and maintain it.
7

Which of the following issues concerns you when changing your diet?
- Constipation
- High Blood Pressure
- High Levels of Cholesterol
- Constipation and Gas
- Fatigue
- Allergies
- None of the above
8

Whose support do you think would be most helpful on your weight-loss program?
- My spouse or partner's
- A good friend
- My personal weight-loss coach

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Nutrition Survey

Which of the following has most undermined your weight-loss efforts in the past?

What is your biggest complaint about diets you've tried?

Which of the following best describes your priorities when choosing a weight loss program?

To be in your ideal weight, how many pounds do you need to lose?

Which of the following best describes your energy levels on a weight-loss program?

Which of the following best sums up your beliefs about meal replacement shakes?

Which of the following issues concerns you when changing your diet?

Whose support do you think would be most helpful on your weight-loss program?

Post This Quiz

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