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Thank you for taking the time to complete this survey. We strive to consistently improve this company and the services that we provide and your opinion is extremely important to us.

Your answers will be kept strictly confidential.

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* 1. Please check all that apply:

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* 2. I would be interested in a program that could help me with overeating or emotional eating

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* 3. My ideal program for help with overeating and emotional eating would be:

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* 4. When I try to make changes in my eating or my weight:

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* 5. My biggest struggle with emotional eating and overeating is:

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* 6. Anything you'd like us to know about your experience with TooMuchonHerPlate.com, with our newsletter, or with Dr. Melissa's work?

Thank you for taking the time to complete this survey. We strive to consistently improve this company and the services that we provide and your opinion is extremely important to us.

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