Please help us learn a little bit about you and your goals for this program. You will be directed to the beginning of the program at the end of this short questionnaire. 

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2. What do you hope to learn from this program?

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3. Which sections of the Healthy Weighs for Life program do you plan to complete?  (Choose all that apply)

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4. How did you learn about this program?

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5. Do you receive your health care at a military facility?

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7. Please provide your age (number format, for example, 45).

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10. To help us anonymously track progress/results of this program, please enter the initials of your first, middle and last name. (Example: LTH)

Thank you for your time. We hope this program and information will suit your needs. Please click the Done button to get started with any section(s) you choose to complete. 

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