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Which weight loss services are you interested in?
Meal Plans
Exercise Programs
Supplements
Coaching Services
Other
What are your primary reasons for wanting to lose weight?
Health improvement
Increase energy levels
Enhance self-confidence
Improve mobility
Other
Other (Please specify):
How would you rate your current level of physical activity?
How would you rate your current level of physical activity?
Sedentary (little to no physical activity)
Light (minimal activity, such as walking)
Moderate (regular exercise, such as jogging or cycling)
Vigorous (intense workouts or sports activities)
Unsure
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Are there any specific dietary restrictions or preferences we should consider in your weight loss plan? (check all that apply)
Vegetarian
Vegan
Gluten-free
Dairy-free
Other
If other please specify:
What are your long-term health goals beyond weight loss? (check all that apply)
Improve overall fitness
Reduce risk of chronic diseases
Achieve better mental well-being
Increase longevity and quality of life
Other
List any other long-term health goals:
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