Section 1: Personal Information
- Age: _____
- Gender: _____
- Height (in cm or ft/in): _____
- Current Weight (in kg or lbs): _____
- Target Weight (in kg or lbs): _____
Have you attempted weight loss before? (Yes/No)
If yes, what methods have you tried? (Dieting, Exercise, Supplements, Medical Assistance, Other)
What is your primary motivation for losing weight? (Health, Appearance, Fitness, Medical Reasons, Other)
Section 2: Current Lifestyle & Habits
How many meals do you eat per day? (1, 2, 3, More than 3)
Do you often eat processed or fast foods? (Yes/No)
How often do you consume sugary drinks or snacks? (Daily, Weekly, Rarely, Never)
Do you track your calorie intake? (Yes/No/Sometimes)
How many hours of sleep do you get per night? (Less than 5, 5-6, 7-8, More than 8)
How often do you engage in physical activity? (Never, Rarely, 1-2 times a week, 3-4 times a week, Daily)
What type of physical activity do you prefer? (Walking, Running, Weightlifting, Yoga, Other)
Do you experience stress frequently? (Yes/No/Sometimes)
How do you manage stress? (Exercise, Meditation, Eating, Other)
Do you have any medical conditions that affect weight management? (Yes/No, If yes, please specify)
Section 3: Weight Loss Plan & Preferences
Are you open to making dietary changes? (Yes/No/Maybe)
What kind of diet do you prefer? (Low-carb, Keto, Vegan, Mediterranean, Balanced Diet, Other)
Are you willing to track your daily calorie intake? (Yes/No)
Would you consider intermittent fasting? (Yes/No/Maybe)
How many minutes per day can you dedicate to exercise? (0, 10-20, 30-45, 1 hour or more)
Do you prefer home workouts or gym workouts? (Home, Gym, Both)
Would you consider working with a professional (Dietitian, Personal Trainer, Doctor)? (Yes/No)
What challenges do you anticipate in your weight loss journey? (Time, Motivation, Budget, Cravings, Other)
Comprehensive Guidance on Losing Weight in 3 Months

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