Are you male or female?

• Male
• Female

How old are you?

• 20's
• 30's
• 40's
• 50's
• 60's
• 70+

How many days per week do you exercise for more than 15 minutes?

• I don't exercise at all
• 1-3 days per week
• 4-5 days per week
• Every single day

How many days per week do you eat fast food or at restaurants?

• 0-1
• 2-3
• 4-6
• Every day

How many diets have you tried in the last 2 years?

• None
• 1 diet
• 2-3 diets
• 4+

How much water do you drink every day?

• 1 glass of water (barely any)
• 2-5 glasses of water (a little bit)
• 6-8 glasses of water (a good amount)
• 1 or more gallons of water (I'm always hydrated!)

How many times per week do you drink alcohol?

• I don't drink
• 1-2 times per week
• 3-5 times per week
• I have a drink every day

What is your skin quality?

• It's clean & clear!
• I have occasional blemishes
• I get frequent breakouts

What time of the day do you start to feel tired?

• When it's my regular bed time
• Between lunch and dinner
• I always feel tired (unless I have coffee)

How many cups of coffee do you drink per day?

• I don't drink coffee
• 1-2
• 3-4
• 4+

How would you rate your fitness level?

• Very fit - Abs showing all year round
• Fit enough - I can get through a work out
• Not so good - Working out is always a struggle
• Poor - Going up stairs feels like a marathon

How would you rate your fitness level?

• Very fit - Abs showing all year round
• Fit enough - I can get through a work out
• Not so good - Working out is always a struggle
• Poor - Going up stairs feels like a marathon

How would you rate your fitness level?

• Very fit - Abs showing all year round
• Fit enough - I can get through a work out
• Not so good - Working out is always a struggle
• Poor - Going up stairs feels like a marathon

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