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Fat Check Questionnaire
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is your gender?
Select your gender
Male
Female
2
On a scale of 1 to 10, how satisfied are you with your current body weight?
Rate your satisfaction level with your body weight
3
How many days a week do you engage in physical activity?
Please enter the number of days
4
How often do you consume fast food in a week?
Choose the closest option to your fast food consumption
Never
1-2 days
3-5 days
Everyday
5
Do you monitor your daily calorie intake?
Select 'Yes' if you actively track your calorie consumption
Yes
No
6
How many hours of sleep do you typically get each night?
Please enter the number of hours
7
How many glasses of water do you drink per day on average?
Please estimate the number of glasses
8
Do you have any existing medical conditions related to weight or metabolism?
Select 'Yes' if you have any weight or metabolism-related medical conditions
Yes
No
9
How often do you eat fruits and vegetables in a day?
Choose the closest option to your fruit and vegetable consumption
Less than 1
1-2 servings
3-5 servings
More than 5 servings
10
Are you interested in receiving personalized meal and exercise recommendations?
Select 'Yes' if you are interested in personalized recommendations
Yes
No
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