Challenge Yourself: Weigh In

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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your starting weight?

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* 4. Have you taken your 'Before' measurements & noted them in your Nutrition & Movement Journal?

Yes

No

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* 5. Have you taken your 'Before' photos? (Remember to send them to challenge@befitfood.com.au)

Yes

No

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* 6. What is your main motivation for starting the challenge?

Health change/improvement

I have a social event coming up and I want to lose some weight

Weight loss

Referred by DR/health professional

I want to feel more confident

Other (please specify)

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* 7. How are you feeling about starting the challenge?

Reluctant & nervous

In between (nervous but excited)

Excited & motivated