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ThinWorks Survey Questions:
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* Indicates required question
1. How much weight are you looking to lose?
*
Less than 10 pounds
10-20 pounds
21-40 pounds
41-70 pounds
Over 70 pounds
2. What has worked for you in the past to lose weight? Select all that apply.
*
Dietary modification
Increased exercise
Commercial weight loss program like Weight Watchers, Jenny Craig, MediFast, etc
Appetite suppressant medication
Nothing has worked!
Required
3. How often do you exercise?
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Two times or less per week
3-4 times per week
5-6 times per week
4. What types of exercise, if any, do you regularly do? Select all that apply.
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Walking, running, or biking outdoors
Cardio at the gym
Resistance training
HIIT (High Intensity Interval Training - Orange Theory, CrossFit, F45, etc)
Yoga or Pilates
None
Other:
Required
5. Which of the following statements describe your eating habits during a typical day? Select all that apply.
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I eat only healthy foods, with few exceptions
I eat mostly healthy foods, with some unhealthy items daily
I have alcoholic drinks daily
I regularly skip meals
I never skip meals
I eat snacks
I'm always busy so I eat whatever I have time for
Required
6. How often do you fight cravings and hunger?
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Never
Sometimes
Often
Every day
7. What times of the day do you struggle most with cravings or hunger?
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Around breakfast time
Mid morning
Around lunch time
Mid afternoon
Around dinner time
Evenings or late night
8. Do you feel that your weight gain is more a result of overeating (quantity) or poor food choices (quality)?
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Overeating
Poor food choices
A combination of both
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