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1 - Is it easy for you to get up on a average morning? Do you feel awake and energized?	YesNoSometimes
2 - Do you eat breakfast in the morning? If YES what does it usually contain?
3 - Do you usually eat lunch?	YesNoSometimes
4 - If you skip lunch please what is the reason for doing so, if you have lunch what do you usually eat?
5 - Do you find yourself snacking all throughout the day in between meals?	YesNoSometimes
6 - If YES what kinda snacks are you habitually eating?
7 - Do you drink allot of water all throughout the day?	YesNoLittleOnly when thirsty
8 - Around what time do you normally have dinner?	18.0018.3019.0019.3020.0020.3021.00Later
9 - What type of meals do you have over dinner time? Please name only the main dishes.
10 - Do you always finish with a dessert?	YesNoSometimes
11 - Do you find yourself snacking between dinner and bedtime? If YES on what?
12 - Around what time do you find yourself going to bed?	20.0020.3021.0021.3022.0022.3023.0023.30Midnight and later
13 - Do you usually have a good 6-8 hours sleep or are you restless at night?
14 - Do you feel energized on average all through the day?	YesNoSometimes
15 - Do you have any food allergies you know of and have you been tested for them?
16 - Are you suffering from any ailments at the moment and if so are you under professional care?
17 - What is your fitness level and how often do you exercise and what type?	Very good Good Could be better Terrible Once a week Twice a week Three times and more Weighttraining Aerobics Stretching
18 - Do you take supplements or medications of any kind? If YES what type, how often and what is it for?
19 - Did you ever diet before? What kinda diets did you try out? Why did they fail?
20 - Did you ever undertake a cleanse or fast and what type and how long?
21 - Which practices do you use to prepare your meals?	Steaming Cooking Baking Frying Microwaving
22 - Do you drink coffee and/or any other beverages?	Yes No Sometimes Teas sodas Natural Juices Dairy drinks
23 - Do you drink alcohol and what type?	Yes No Sometimes Beer wine Spirits
24 - Do you smoke and/or take recreational drugs?	Yes No Sometimes Yes to Drugs No to Drugs Occasional user
25 - Additional comments
26 - Your location (for time zone)
27 - E-mail address
28 - Your name
29 - Your skype name
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