"Weight Loss | Healthy | Lose Weight | Fat Loss

Healthy Weight loss | Natural Way to Lose weight

You must first win the battle of the mind before you can win the battle of the bulge - Lose weight fast

"Weight Loss | Healthy | Lose Weight | Fat Loss | Control Your Weight" I can show you how to lose weight fast without dieting

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Weight Loss Evaluation

This Simple Test Will Provide You an Evaluation of Your Current Ability to Lose Weight and Keep It Off

The results of the test will be emailed to you.

Answer all the questions to get more accurate results

*First Name:

*Email:

*What is your Weight in lbs:

lbs

*What is your Height:

Ft Inches

What Do You Think?

What category do you think you fall into?:

Losing weight is too hard:

Yes No

Do you like to exercise?:

Yes No

I don't have time to exercise:

Yes No

I am always too tired to exercise:

Yes No

Weight problems run in my family:

Yes No

Losing weight means giving up my favorite foods:

Yes No

Losing weight means eating bad food:

Yes No

Losing weight means starving:

Yes No

I am too old to lose weight:

Yes No

My metabolism is too slow to lose weight:

Yes No

I travel too much to lose weight:

Yes No

I am too busy to exercise:

Yes No

I have tried diets that failed:

Yes No

I eat junk food Daily:

Yes No

I eat when stressed:

Yes No

I eat when depressed:

Yes No

I eat when bored:

Yes No

I eat when excited:

Yes No

Food

NEVER		RARELY		SOMETIMES		OFTEN		USUALLY		ALWAYS
0	1	2	3	4	5	6	7	8	9	10

How often do you go out to Lunch?:

How often do you eat leftovers for lunch?:

How often do you go up for seconds?:

How often do you drink sugary soda?:

How often do you drink alcohol?:

How often do you eat junk food?:

How often do you take vitamins:

How often do you eat fruits and vegetables?:

How often do you skip meals?:

Exercise

NEVER		RARELY		SOMETIMES		OFTEN		USUALLY		ALWAYS
0	1	2	3	4	5	6	7	8	9	10

How often do you exercise?:

Do you park far from door so you can walk?:

Do you take the stairs instead of the elevator?:

Are you active on your Job?:

Are you active after Work?:

Are you active on the weekend?:

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