Gender

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* 1. Gender

Age

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* 2. Age

Which of the following conditions are you dealing with, if any? Check all that apply.

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* 3. Which of the following conditions are you dealing with, if any? Check all that apply.

Do you follow (or are trying to follow) any type of special diet now? Check all that apply. 

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* 4. Do you follow (or are trying to follow) any type of special diet now? Check all that apply. 

How much do you enjoy/are you able to cook your own meals? (1 - "Where IS my kitchen?", 4 - "I live for making most of my meals from scratch."

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* 5. How much do you enjoy/are you able to cook your own meals? (1 - "Where IS my kitchen?", 4 - "I live for making most of my meals from scratch."

1 4
i We adjusted the number you entered based on the slider’s scale.
Which type of nutrition guidance have you utilized, if any?  Check all that apply.

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* 6. Which type of nutrition guidance have you utilized, if any?  Check all that apply.

What are your biggest sources of frustration when trying to eat healthfully/change your lifestyle?

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* 7. What are your biggest sources of frustration when trying to eat healthfully/change your lifestyle?

Based on the list below, rank the strategies you want to learn MOST about to improve your health? (1 - Most, 10 - Least)

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* 8. Based on the list below, rank the strategies you want to learn MOST about to improve your health? (1 - Most, 10 - Least)

Ideally, how would you most prefer to learn about nutrition & health strategies? Choose one.

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* 9. Ideally, how would you most prefer to learn about nutrition & health strategies? Choose one.

Is there anything else you'd be willing to share about your health & nutrition goals/struggles/challenges so I can serve you even better? 

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* 10. Is there anything else you'd be willing to share about your health & nutrition goals/struggles/challenges so I can serve you even better? 

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