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* 1. What are your health goals? Remember they don't just have to be about your weight and to make them "SMART" goals = specific, measurable, achievable, realistic and time-specific.  e.g. "Developer strong and supportive friendships", or "lose x kg by y date", or "start dancing/walking 30 minutes 5 days a week".

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* 2. What is your current weight and height?

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* 3. What is your current waist circumference? (See here for instructions on how to do this - https://www.wikihow.com/Measure-Your-Waist)

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* 4. Have you tried to lose weight before?  How many times?  Wha worked and didn't work?

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* 5. Would you be interested in meeting up with other course participants in your region to create local support groups and networks?

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* 6. If "Yes" to question 4 = What are your Country and Postcode? 
Please note - Please do NOT provide your specific work or home address. These details are confidential, we will not provide anyone with your personal details without your prior permission.

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