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How often do you go out to eat?
 
Often (4-7 times a week)
 
Sometims (3-4 time a week)
 
Almost never (0 -2 times a week)
 
 
 
How often do you plan what you eat?
 
I plan 80-90% of my meals
 
I plan 60-80% of my meals
 
I plan 60% or less of my meals
 
 
 
How many hours of sleep do you typically achieve each night?
 
8+ hours
 
7+ hours
 
6+ hours
 
5+ hours
 
Less than 5 hours
 
 
 
How often do you eat breakfast?
 
Daily
 
Sometimes (3-5 times a week)
 
Never
 
 
 
How do you feel after not eating for at least 4 hours?
 
100% fine
 
Somewhat crabby
 
Terrible to be around
 
 
 
How often do you eat/snack when not hung?
 
Sometimes
 
All the time
 
Never
 
 
 
How do you feel after eating a high carb meal or snack?
 
Normal
 
Sluggish
 
Energized
 
 
 
How do you feel after eating a high carb meal or snack?
 
Normal
 
Sluggish
 
Energized

 
 
 
I am a snacker
 
True
 
False
 
 
 
How do you feel after eating a high carb meal or snack?
 
Normal
 
Sluggish
 
Energized