Do you have a powerful sweet tooth? *

Yes

No

When you feel tired, do you reach for carbs/sweets? *

Yes

No

Do you wake up around 3AM? *

Yes

No

Do feel like a snack at 3PM? *

Yes

No

Do you have diabetes in your family? *

Yes

No

Do you typically get in less than 5k steps/day? *

Yes

No

Do you put sweetener and a creamer in your coffee? *

Yes

No

Is your disposition generally agreeable? *

Yes

No

Do you have anxiety? *

Yes

No

Do you have depression? *

Yes

No

First Name

Last Name *

Email *

Phone *

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