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* 1. Name

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* 2. Age

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* 3. Hight in feet

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* 4. Weight in stone

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* 5. Email Address

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* 6. How active are you

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* 7. How often do you eat take aways

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* 8. Do you cook fresh?

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* 9. Are your family going to support you throught this journey?

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* 10. Do you have any questions?

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