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UK/IE - Success survey

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1 / 5

Gender

Please select one of the options.

Height

Weight

Date of birth

YYYY

2 / 5

How many times per week are you physically active (a minimum of 30 minutes of high-intensity activity)

I don't exercise

1-2 times per week

3-4 times per week

5 or more times per week

Please select one of the options.

Why do you exercise?

I want to lose weight

I want to sculpt my body

I want to maintain flexibility

I want to maintain a fit and healthy body

I exercise for fun

I want to relax after a busy or stressful day

I do sports professionally/competitively and I want to improve my results

Please select one of the options.

Do you have any specific needs during or after your workouts?

I want more strength

I want more energy

I want to improve endurance

I want to burn more fat

I want to gain muscle mass

I want to speed up regeneration

Please select one of the options.

What type of workouts do you do?

Exercises for building strength (fitness training, weight training...)

Interval training (MET, TRX, Bootcamp, Crossfit...)

Team sports (football, volleyball, basketball...)

Individual sports (tennis...)

Endurance training (running, cycling, swimming...)

Stretching exercises (yoga, Pilates...)

Aerobics exercises (Zumba, dancing, aerobics...)

Please select one of the options.

3 / 5

How many meals do you usually have per day?

1 to 2

3 to 4

5 or more

Please select one of the options.

What is the reason you only eat 1 or 2 times per day?

Lack of appetite

Lack of time

Stress

Habit, routine

I'm trying to lose weight

Please select one of the options.

4 / 5

How many cigarettes do you smoke per day?

I don't smoke

I'm a passive smoker

I only smoke occasionally

Up to 10 per day

11 or more per day

Please select one of the options.

What health issues are you experiencing?

Frequent urinary tract infections

High cholesterol

Elevated triglycerides

Elevated blood pressure

Anaemia

Fatty liver

Joint pain

Muscle pain

Low immunity (frequent colds...)

Frequent muscle spasms

Swelling in the feet and ankles

Digestive problems (frequent diarrhoea)

Digestive problems (frequent constipation)

Digestive problems (flatulence, bloating)

Menopause

Osteopenia, osteoporosis

Insomnia

Other

Please select one of the options.

What are your lifestyle goals?

Boosting energy levels

Reducing stress

Improving memory and concentration

Improving general health and well-being

Boosting brainpower

Please select one of the options.

What are your goals regarding your appearance?

Eliminating skin imperfections (acne and pimples)

Strengthening nails

Strengthening hair

Preventing or eliminating the first signs of wrinkles

Eliminating deeper wrinkles

Eliminating cellulite

Eliminating under-eye bags or dark circles

Please select one of the options.

5 / 5

How much weight (in kg) do you want to lose?

Up to 2 kg

Between 2 and 5 kg

Between 5 and 10 kg

Between 10 and 20 kg

Over 20 kg

I am happy with my weight.

Please select one of the options.

How quickly do you want to lose weight?

1 month

2 - 3 months

4 - 6 months

7 - 12 months

Please select one of the options.

How long have you been struggling with excess weight?

For the past few weeks (e.g. overeating over a shorter period, like holidays or time off work)

For the past few months (e.g. due to life changes, new job, pregnancy...)

For the past few years (e.g. due to an unhealthy lifestyle)

For my whole life

Please select one of the options.

What do you think is the main reason you struggle with your weight?

Overeating

Not eating the right food

Not enough exercise or physical activity

Medication (birth-control pills, corticosteroids...)

Hormonal problem (e.g. thyroid issues)

Stress

Laziness

Pregnancy

Please select one of the options.

What other dietary supplements or similar products are you interested in? (Multiple answers are possible)

Protein shakes

Beauty supplements

Stress-management supplements

Brainpower and cognitive enhancement products

Sports nutrition supplements (pre-workout, post-workout, etc.)

Multivitamins and single vitamins/minerals for my specific needs

Omegas and other fish oils

Joint health products

Full body detox products

Liver health products

Please select one of the options.

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