Beformance

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Question 1 / 17

Gender
- Male
- Female

Question 2 / 17

Age
- 18 - 24
- 25 - 34
- 35 - 44
- 45 -54
- 55 - 64
- 65+

Question 3 / 17

Your height (cm)

Question 4 / 17

Your weight (kg)

Question 5 / 17

How much weight are you planning on losing? Be realistic.
- Around 5 kg
- Between 10kg – 15 kg
- More than 15kg

Question 6 / 17

How soon do you wish to lose your weight?
- Fast
- Moderately, step-by-step
- Slowly

Question 7 / 17

How many times have you tried dieting?
- I feel like I'm constantly on a diet
- About once per year ( New Year Resolutions)
- A few times per year
- This is my first time on a diet

Question 8 / 17

What is your preferred way of losing weight?
- I need to see results fast and I'm ready to work for it
- I need to see results fast, but I don't want too many changes in my life
- Nice and steady, I don't want anything to change too fast
- I want fast results without starving myself

Question 9 / 17

What kind of weight-loss plan would you like to be on?
- Quick crash diet to quickly drop a few kgs and then maintain it by eating healthier
- Step-by-step dieting in order to lose weight but without long-term lifestyle changes
- Gradual and long-term lifestyle changes to keep the weight off in the long run
- I would like to take dietary supplements that aid weight loss and nothing else

Question 10 / 17

How would you best describe your problems with weight gain?
- I don't exercise
- I've gained some weight recently but I don't have a long term problem with weight gain
- I've gained a lot of weight recently but otherwise haven't had problems with weight throughout my life
- My weight is always fluctuating
- I've been overweight for a long time and have never found the right weight-loss programme for me

Question 11 / 17

From previous experience with dieting - what were your biggest issues?

Multiple answers are possible
- I find it hard to stick to a prescribed meal plan
- I'm hungry all the time, so sooner or later I quit
- I just can't stomach the foods I should eat when on a weight-loss programme
- I don't see results fast enough, so I usually give up
- I just can't stick to an exercise program
- I really don't know what's the best weight-loss programme for me

Question 12 / 17

Mark the statements that most accurately describe your problems

Multiple answers are possible
- I just love food, I eat too much.
- I eat a lot of unhealthy, processed food
- I’m crazy about carbs.
- I overeat seasonally (during the holidays - Xmas, Easter, Winter etc.)
- My diet is OK, but I snack a lot between meals
- I often feel very bloated.
- I don’t know how to get rid of my flabby stomach.
- I’ve got a slow digestion.
- I'm constantly under stress and my energy levels are low
- I have difficulties sleeping and my energy levels are low
- I over-eat in the evenings when I have time for myself
- My diet is pretty good and I exercise a bit, but I struggle to tone my body
- I can't seem to find the time for a regular work-out routine although I know it's beneficial

Question 13 / 17

What would be your ideal diet plan?
- Fast slimming with a very basic workout plan
- Fast slimming with a high-intensity workout plan
- Step-by-step dieting and a basic workout plan
- A diet for beginners, with slow long-term changes and a basic workout plan to keep the weight off
- A full lifestyle change for a healthier life

Question 14 / 17

What is your current fitness level?
- Perfect
- Good
- Average
- Poor
- Unfit

Question 15 / 17

What are your goals?
- I just want to lose weight and start with some basic exercises
- I want to lose weight and tone my body step-by-step and maintain it in the long run
- I want to lose weight and tone my body without a workout programme
- I'd like to gain muscle mass and see long-term results

Question 16 / 17

Have you done any exercising lately?
- I exercise 2-3 times per week without seeing progress
- I exercise 4-5 times per month without seeing progress
- I exercise 2-3 times per week and want to tone my body more
- Sometimes, irregularly
- I’ve exercised in the past but not currently
- I haven't exercised in a long time
- No, I don't have time for it

Question 17 / 17

Do you enjoy physical activity?
- Not really, I think it's boring and I've not found the right workout for me
- Not really, I'm too lazy - I lack the motivation to keep me going
- Sometimes
- Most of the time

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Welcome

Gender

Age

Your height (cm)

Your weight (kg)

How much weight are you planning on losing? Be realistic.

How soon do you wish to lose your weight?

How many times have you tried dieting?

What is your preferred way of losing weight?

What kind of weight-loss plan would you like to be on?

How would you best describe your problems with weight gain?

From previous experience with dieting - what were your biggest issues?

Mark the statements that most accurately describe your problems

What would be your ideal diet plan?

What is your current fitness level?

What are your goals?

Have you done any exercising lately?

Do you enjoy physical activity?

My Content

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