1. Welcome!

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 33% of survey complete.
Dear friend,

I’m excited that you’re a part of my Zero Hunger family. I want to make sure it’s the best experience. In order for me to do that, as your coach, I need to ask a couple of questions to make it outstanding. 

Please take a few minutes to answer these as I will be personally reviewing them.

All my best,
Jorge
Jorge@jorgecruise.com







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* 1. Your gender is:

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* 2. What is your biggest goal for this program?

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* 3. How much weight do you feel you have to lose?

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* 4. Starting weight

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* 5. Goal weight

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* 6. Starting waist circumference:

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* 7. Starting bust/chest:

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* 8. Starting hips:

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* 9. Height

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* 10. What year were you born?

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* 11. Relationship Status 

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* 12. Before front picture

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* 13. Before side picture

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* 14. Before backside picture

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* 15. What is your greatest health fear?

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* 16. How would you know if you were successful on the plan? 

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* 17. Write down everything that has passed your lips in the last 24 hours:

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* 18. How did you hear about ZeroHungerFast.com?

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* 19. Social Meda handle: Facebook and/or Instagram (and others):

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* 20. Contact information:

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