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Health profile - dietary habits

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Dietary habits
1

What is your name?

Preferably first and last name.
2

How old are you?

3

Where are you living?

4

What interests do you have?

5

Do you eat breakfast?

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6

If you take the answer "yes" on the question before, what kind of breakfast do you eat?

7

What does a typical day look like for you with meals?

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8

If you would like to make a change, how motivated are you on a scale of 1-10?

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9

Do you know Herbalife?

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10

What would you be interested in?

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11

Please fill in the phone number.

If you want, you don´t have to.
12

Please fill in your email.

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Thank you for answering the survey!

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