What’s Really Blocking My Weight Loss?
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Where do you tend to gain or hold fat most noticeably?
A. Lower belly
B. Love handles or sides
C. Thighs or hips
D. Evenly all over
Have you ever lost weight overall but certain areas stayed the same?
A. Yes, my lower belly never changes
B. Yes, my sides or back stay stubborn
C. Yes, my thighs do not respond
D. No, weight changes evenly
How would you describe your appetite?
A. Strong cravings and hunger swings
B. Moderate but difficult to control portions
C. Low appetite but weight still increases
D. Fairly normal
How would you describe your appetite? (copy)
A. Afternoon crashes
B. Low all day
C. Fluctuates
D. Mostly steady
Do you experience any of the following?
A. Belly bloating or midsection heaviness
B. Low libido
C. Mood changes
D. Muscle loss
What is your primary goal?
A. Lose overall weight
B. Flatten my stomach
C. Improve body contour and shape
D. Increase energy and feel like myself again
