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Before you can sign up for our Health Consultant Program, we would like you to answer a few simple questions to help us get to know you better.

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1. How often do you exercise?

1 Time Per Week
2-3 Times Per Week
4-7 Times Per Week

2. How would you describe your job or daily schedule?

Sedentary
Active
Physically Demanding

3. How would you rate your current nutrition?

Excellent
Moderate
Poor

4. How would you describe your current physical shape?

Physically Fit
Average
Overweight

5. Do you go out to eat 3 times per week or more?

Yes
No

6. Do you snack on foods that are high in sugar?

Yes
No

7. Finally, do you know exactly how many calories you eat per day?

Yes
No
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