* 1. Study ID Number

* 2. I have experienced swelling of the feet, ankles and/or calves

* 3. I have noticed a positive change in my body silhouette

* 4. I have felt heavy leg sensation

* 5. I have noticed my clothes feel looser

* 6. This study program is heping me to lose weight

* 7. This study program is better than other diet programs that I have tried. (Mark N/A if you have not tried any other diet programs)

* 8. Overall, I am stisifed with the study program

T