Online Diet Questionnaire
Short questionnaire for online customers.

Name*
Age*
Height*
Weight*
What are your goals for the diet (mas gain, fat
loss, weight loss, lose 13 lbs by may, etc)?
*
What are your current eating habits?*
What is your current meal frequency?*
Are you restricted on how often or how many meals
you can eat, explain?
*
What diets have you tried and what were the
results?
*
Do you perform any resistance training and/or
aerobics?
*
What is your daily lifestyle/activity level on a
scale of 1-10, 1 being no activity and 10 being
extremely active?
*
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