Weight Loss Questionnaire

You used to be able to lose weight, but even with diet and exercise, you can't lose anything anymore.

Do you experience irritability?

Do you experience Night Sweats and/or Hot Flashes?

You either can't lose weight at all, or you can lose weight to a certain point, and then can't lose anymore.

Do you have trouble either falling asleep, or getting a full night's sleep?

Do you suffer from Digestive issues, such as Acid Reflux, IBS, or Bloating?

You never really had weight to lose, but now you have unexplained weight gain, usually around the belly.

Do you experience challenges with memory, clarity, or feeling like your brain is foggy?

Do you sometimes feel anxious or depressed for no particular reason?

Do you regularly crave sweet or salty foods?

Free Text

Thank you for completing the quiz!

Please leave your contact information below so our fitness team can follow up with personalized recommendations based on your responses.

Name

Phone

Come to a free information session to see if the program is right for you.

Stay up to date