Question Title

* 1. Why is important for you to loss weight?

Question Title

* 2. Are you looking for instant solution?

Question Title

* 3. What makes you feel that this time you will be successful in your goal?

Question Title

* 6. If you take any medication, please write their names. In case you are not taking any prescribed medication, please write none.

Question Title

* 8. Do you have high or low blood pressure?

Question Title

* 9. Have you ever had glucose tolerance test at your GP?

Question Title

* 10. Please write your full name, age that is rounded to dozens, separated by comma between name and age.

T