About You

Do you know that losing weight is critical to ensure your sugars are controlled?

Have you taken up any Sugar/Weight management programs in the past

Please answer the following questions on a scale of 1 – 5. SCALE: LEAST 1 2 3 4 5 MOST

Your level of interest in controlling sugar losing weight is?

LEAST 1 2 3 4 5 MOST

Are you ready for lifestyle changes?

LEAST 1 2 3 4 5 MOST

How much support can your family provide?

LEAST 1 2 3 4 5 MOST

How much support can your friends provide?

LEAST 1 2 3 4 5 MOST

How confident are you that you can lose weight this time?

LEAST 1 2 3 4 5 MOST

Your level of Stress (Personal or professional) is?

LEAST 1 2 3 4 5 MOST

Your interest in doing regular exercise and losing weight is?

LEAST 1 2 3 4 5 MOST

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