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Dieter's Survey

Welcome to our survey. There's a lot of talk about how rare it is that someone goes on a diet and actually succeeds in having permanent weight loss from it. We decided we'd like to know the real truth about this subject. So this survey is an attempt to find out from as many people as possible, how successful your dieting attempts have been, and which ones have worked the best. We will publish the results on this site when we have enough responses. Your complete privacy is respected, and your name and e-mail address are optional. Thanks for participating.

We appreciate your participation in our survey, and hope you will help our cause by filling out all fields, however, this is your choice. Thanks.

Dieter's Survey

NAME:

E-MAIL ADDRESS:

URL:

STATE/COUNTRY:

HOW CLOSE IS YOUR USUAL WEIGHT TO WHAT YOU
WOULD LIKE TO WEIGH? (SELECT ONE):

HOW MANY TIMES IN YOUR LIFE HAVE YOU GONE ON A
WEIGHT LOSS DIET?

	one
	two
	three
	four
	five
	six
	seven
	eight to ten
	more than ten

DID YOU DIET ALONE?

	YES
	NO

DID YOU HAVE A DIET BUDDY?

	YES
	NO

DID YOU JOIN AN ORGANIZED PROGRAM?

	YES
	NO

IF SO, WHICH ONE?

HOW MANY TIMES HAVE YOU LOST THE AMOUNT OF WEIGHT
YOU WANTED TO?

HOW MANY TIMES HAVE YOU NOT REACHED YOUR WEIGHT LOSS
GOAL?

HOW MANY TIMES HAVE YOU GAINED BACK THE WEIGHT
YOU LOST?

WHICH DIETS HAVE YOU GONE ON BEFORE? (write them in the
comment box below):

WHICH DIET WORKED BEST FOR YOU AND WHY? (please write
your answers/comments below):

Thank you very much for participating. Watch for the results --- to be posted on this site.

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