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Body by Design
Questionnaire
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BODY  BY  DESIGN  DIET / LIFESTYLE ANALYSIS
  1. How many meals a day do you eat (including snacks)? 
  2. What would an average meal consist of? 
  3. What time of the day do you eat your meals? Why?           
  4. What are your favorite foods? 
  5. What junk foods do you crave? When? 
  6. Do you have any health conditions which require special attention i.e. allergies, low/high blood pressure, diabetes? 
  7. Do you have past injuries and if so what is their current state? 
  8. Do you eat after 8 or 9 p.m.? 
  9. Do you wish to gain, lose, or maintain weight? 
  10. How much to you wish to gain or lose and why? 
  11. How quickly do you wish to gain or lose this weight? 
  12. What is your current weight? How often do you weigh yourself? 
  13. How often to do you eat at restaurants or away from home? 
  14. Do you drink alcohol? If yes, how often? 
  15. Do you drink water or coffee? If yes, how often? 
  16. Are you currently on an exercise program? 
  17. What forms of exercise do you enjoy? 
  18. How much time can you devote to exercising weekly? 
  19. Please provide me with a detailed account of the food and beverages you would consume on a regular day.
  20. What diets have you tried before?                                      
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