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How often do you have a healthy nutrition?
 
Once a week
 
Twice a week
 
Every day
 
I don't know
 
 
 
Do you have an active lifestyle and how many times are you having your sports actvity?
 
Yes, just once a week
 
Yes, two till three times a week
 
Yes, once in a while
 
No, I have no time
 
No, I do not know how
 
 
 
How important is it for you to have your breakfast everyday?
 
Not important, so I skip my breakfast
 
Not so important, because I have no time to have my breakfast
 
Very important to have my breakfast every morning
 
 
 
Averages of number of restaurants meals (sit down, fast food & take out) per week?
 
Once a week
 
Twice a week
 
Three times a week
 
Almost every day
 
Every day
 
 
 
Do you eat healthy everyday like composition of 25% of healthy carbohydrates, 25% protein and 50% healthy colorful vegetables?
 
Yes
 
No
 
I think so
 
I do not know what a healthy diet is
 
 
 
How would you rate your health in general?
 
Excellent
 
Good
 
Average
 
Poor
 
 
 
Which one do you really want to accomplish according to your health today?
 
Lose weight and achieve an ideal shape
 
Gain weight and increase muscle mass
 
Aproving my stamina
 
Improving fitness and total health
 
 
 
if you will have your weekly follow up from your welness coach, how serious are you willing to achieve your health challenge?
 
None
 
May be serious
 
Probably more serious
 
Very serious and motivated
 
 
 
How serious are you in improving your nutrition in order to get the best results?
 
Not serious
 
I'm not sure
 
Serious
 
Extremely serious
 
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