array(0) {
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Name: 








Email: 






Sex:
 
Female
Male






Age:
 
18-20
21-25
26-30
31-35
36-40
41-45
46+






Number of Kids:
 
0
1
2
3
4+







Weight to Lose:
 
Less than 5 lbs
6-10 lbs
11-15 lbs
16-20 lbs
21-25 lbs
26-30 lbs
31+ lbs







Body Perspective:
 
Hate It
Unhappy with it
Ok with it
Happy with it
Love it







Body Happy:





When to Lose:
 
The New Year
Upcoming Special Event
Whenever You Feel the Need to Change
When My Clothes Stop Fitting
When I've Had Enough of the Extra Pounds






Method:
 
Low Fat Diet
Low Carb Diet
Paleo Diet
The Latest Diet in the News
Diet Pills/Diet Supplements
Reduced Calorie Diet
Running-Based Cardio
Dancing-Based Cardio
Body Weight Workouts (Push-ups, etc.)
Light Weight Lifting
Heavy Weight Lifting







Frustration:





Challenge:





Desired Body:
 
Skinny
Curvy
Fit
Muscular
Average







New Body 1:





New Body 1:





Phone Number:






SLDID:









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