Wednesday, December 31, 2008

Questionnaire

Please copy and paste this to an email and send back to me with your answers.

1. What is most important to you?
Please number 1-6 with #1 being the most important to you. Use each number only once.

Losing weight
Losing inches
Feeling better
Getting off junk food
Getting off carbonation
Getting off caffeine


2. Do you drink soda?

3. If yes, what is your drink of choice?

4. How often do you eat candy & junk food?

5. How often are you eating out during the week?

6. Do you have issues taking pills - like herbs or green tea?

7. Are you pregnant or nursing?

8. Do you eat regularly during the day?

9. Do you skip meals?

10. Are you a picky eater? If yes, please specify.

11. Do you exercise? If so, how often?

12. Do you have a health condition that would prevent you from regular exercise?

13. Are you honest?

14. Anything you feel I've missed:


15. Your current weight?

16. Your dream weight?


17. Your realistic weight you'd be happy with?

1 comment:

Anonymous said...

Nat, you are so awesome, i can't believe you were up so late doing this. Now i am really pumped.