Weight loss for life survey
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1. Default Section

1. How long have you been overweight?

How long have you been overweight? 1 to 5 years

5 to 10 years

Over 10 years

2. How much weight would you like to loose?

How much weight would you like to loose? 5 to 10 pounds

10 to 30 pounds

30 to 50 pounds

50 to 100 pounds

Over 100 pounds

3. What is your time frame in which you would like to loose the weight?

What is your time frame in which you would like to loose the weight? 2 weeks

1 to 2 months

2 to 4 months

4 to 6 months

6 to 8 months

8 to 14 months

Over 13 months

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