Have you tried weight loss programs before?
Yes No
Are you willing to follow a structured meal plan?
Yes, definitely Maybe, with guidance No, prefer flexibility
Would you be open to regular medical check-ups?
Yes, for monitoring Depends on necessity Prefer minimal check-ups
Are you interested in incorporating exercise into your weight loss journey?
Yes, regular workouts Light physical activity Not interested in exercise
How committed are you to achieving your weight loss goals?
Extremely committed Moderately committed Somewhat committed Not very committed
All set, how can we reach you?
Name
Email
Phone
Thanks for stopping by!
We will be in touch shortly.
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Thank you for sharing your weight loss goals with us!

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