1. How much weight do you need to lose?
 a. 5 - 10 Pounds
 b. 10 - 25 Pounds
 c. 25 - 50 Pounds
 d. More than 50 pounds
2. Are you Male or Female?
 a. Male
 b. Female
3. How active are you on a daily basis?
 a. Sedentary
 b. Low Active
 c. Active
 d. Very Active
4. Are you a Diabetic?
 a. Yes
 b. No

Bookmark to del.icio.usBookmark to TechnoratiFurl this questionnaire!Bookmark to facebookSpurl this questionnaire!Reddit this questionnaire