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* 1. What is your primary goal?

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* 2. What is your current weight?

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* 3. What is your height?

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* 4. What is your present level of activity?

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* 5. What is your body type?

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* 6. Do you have a preferred diet you'd like to follow?

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* 7. Do you have any food allergies or sensitivities (i.e. gluten, nuts)

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* 8. What are some of your favorite foods & dishes?

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* 9. Which foods & dishes do you dislike, or won't eat?

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* 10. Is there anything else I need to know about your eating preferences or goals?

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* 11. What is your name?

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* 12. What is your email? (We will contact you via email with your results.  We'll also add you to our mailing list so you can receive our newsletter & special offers.)

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