The Bon Appétit Diet

Hello, thank you for your participation! Here is a short questionnaire to analyze your eating habits. The questions are very simple and will take no more than two minutes to answer.

Please enter the following information:

Age years old

Heightft in

Weightlbs

Target weightlbs

GenderM F

Are you a health/nutrition professional?

How would you describe your eating habits?

I sometimes skip one or two meals in a day.
I take well-balanced and nutritious meals as much as possible.
I often eat fast food, pizza, or sandwiches.
I often eat for pleasure and prefer lavish, gourmet meals.
I eat little meat, fish, eggs, but lots of fruits and vegetables.
I'm vegetarian/vegan, or I'm following a specific diet program.

What would you consider your eating vice?

I snack often.
I eat in large quantities.
I always eat in restaurants.
I eat too much food with saturated fat or sugar.
I drink too much alcohol.
None of the above.

Is your weight gain directly proportional to changes in your life?

Yes, I moved.
Yes, my romantic relationship, or my divorce.
Yes, I quit sports or smoking.
Yes, my job or my stressful life.
No, none of the above.

Are there hormonal or medical causes for your weight gain?

Yes, a pregnancy
Yes, a disease (diabetes, high cholesterol)
Yes, a hormonal imbalance
Yes, menopause
Yes, ongoing medication or antidepressants
Yes, I take birth control pills
No, none of the above.

Where do you have the biggest tendency to gain weight?

At the waist and hips

At the buttocks and thighs

At the arms and shoulders

All around the body

What has prevented you from successfully losing weight in the past?

I do not want a strict program that takes a lot of time.
I do not want to take supplements.
I have tried many diets but I gain back the weight every time.
I like to eat. Food is important to me.
I have a love-hate relationship with food.
When I'm not feeling well, I eat more than usual.

"People were amazed at how much weight I have lost. They kept on asking what I did and I just told them what I did in the program - follow the meal plans and read the sessions. No artificial medicines. It's all in the food you eat."

- Lorne

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