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Question 1 of 7
What health conditions do you currently have?
Question 2 of 7
How long have you been struggling to lose weight?
Question 3 of 7
On a scale of zero to 10 how important is it for you to lose weight and keep it off once and for all?
Question 4 of 7
What have you tried doing to lose weight in the past?
Question 5 of 7
What happened with those approaches?
Question 6 of 7
What do you see as your biggest challenge with weight loss?
Question 7 of 7
Please add your name and phone number below. (You are one step closer to mastering your weight.)