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About This Survey


Author: aliambition
Created: July 31, 2006
Taken: 86 times
Rated: G

Survey Tags - Tag Cloud


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Diet and Weight Survey

Created by aliambition and taken 86 times on Bzoink
Click to view users that took this survey

Stats
Name
Height
Weight (If comfortable revealing)
Goal Weight
Highest Weight
Lowest Weight
Dieting
Are you currently dieting?
What diet do you follow?
How many calories do you take in daily?
How many fat grams do you take in daily?
How many carbs do you take in daily?
What is your favorite diet meal?
What are three of your favorite dieting snacks?...#1
2
3
How many bottles of water do you drink daily?
Do you take a dietary aid?
If so, What one(s)?
How long does it take you to eat a meal?
Do you watch your carbs?
Do you watch your sugars?
Do you drink Soda?
Do you like any strange low fat foods?
What is your favorite fruit?
What is your favorite veggie?
Exercise
What kind(s) of exercise do you do? Name 5...#1
2
3
4
5
What gets you pumped to exercise?
Do you like exercising?
Looks
What jeans size are you currently?
Shirt size currently?
What is your goal jeans size?
Your goal shirt size?
What body part do you want to look stellar when you are done losing weight?
Motivations
Why do you want to lose weight?
Do you think meeting your goal weight will make you happier?
How do you plan to keep it off?
What is one thing you look forward to being able to do once lose all weight
What is the first thing you will do on the day you meet your goal?


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