Revitalize Your Health: Weight Loss Concerns Survey

What is your primary concern or struggle related to weight loss?

Yes - I am serious and want to learn more about creating long term results Diet control Exercise consistency Emotional eating Plateau in progress

How would you rate your current level of physical activity?

Sedentary Light activity Moderate activity Active Very active

What is your preferred method of exercise?

Cardio (Running, Cycling) Strength training Yoga/Pilates HIIT Workouts Group classes

How important is a structured meal plan for you?

Very important Moderately important Slightly important Not important Prefer intuitive eating

What emotional factors contribute to your eating habits?

Stress Boredom Loneliness Reward/Comfort eating None

Are you open to trying new weight loss methods?

Yes, always looking to try new approaches Maybe, depends on the method No, prefer sticking to what I know

All set, how can we reach you?

Name

Phone

Yes, I have read and agree to the Terms and Conditions. (Details here)

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