1. What is your current age group?
2. Have you experienced or are currently going through peri or menopause?
3. On a scale of 1 to 10, how motivated are you to shed 15lbs+ of fat in the next few months while maintaining muscle mass and keeping it off?
4. Which of the following best describes your previous attempts at weight reduction?
5. How would you describe your current level of physical activity?
6. Are you open to trying new approaches to fat shedding, even if you've been unsuccessful in the past?
7. How would you describe your stress level on a daily basis?
8. Have you consulted with a healthcare professional about weight loss during peri/menopause?
9. Which statement best describes your relationship with food?
10. What dietary preferences do you have?
11. Do you have any medical conditions or take medications that may affect fat release?
12. How would you rate your overall well-being?
