| 1. |
What is your Body Mass Index? Weight / (Height)2 |
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| 2. |
Do you carry most of your extra weight around your abdominal area? |
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| 3. |
Do you tend to put on weight easily? |
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| 4. |
Do you battle to lose weight when following a diet? |
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| 5. |
Is there a family history of or do you suffer from any of the following: diabetes, heart disease such as high cholesterol or high blood pressure or gout? |
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| 6. |
If female, do you have polycystic ovarian syndrome? |
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| 7. |
Do you suffer with fluid retention in general? |
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| 8. |
If female, do you suffer from pre-menstrual tension including food cravings and mood swings? |
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| 9. |
Do you suffer from depression? |
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| 10. |
Do you experience frequent food cravings especially for sugary or starchy foods? |
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| 11. |
Do your food cravings, especially for sweet or starchy foods, occur later in the day especially late afternoon and evening? |
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| 12. |
Do you suffer from mood swings? |
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| 13. |
Are you usually tired or suffer from fatigue in the afternoon or early evening? |
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| 14. |
Have you experienced any of the following: unexplained weight loss, excessive thirst, frequent urination? |
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