Quiz

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1. Are you obsessed with your weight?

Yes

2. Have you tried and failed at multiple weight-loss programs and diets?

Yes

3. Is it a struggle for you to stop eating desserts, sweets, breads or pasta?

Yes

4. Do you feel a lack of control over what foods you put in your mouth?

Yes

5. When you are at a party are you consumed with thoughts of the food instead of the people?

Yes

6. Does your eating behavior make you unhappy?

Yes

7. Are you ready to get skinny?

Yes

Hit "GET SKINNY" and Tiffany will call you personally for a free session on how to lose your belly fat and balance your blood sugar to lose weight. You will also get her "Skinny Girl Diaries."

First Name

Last Name

Current Weight

Ideal Weight

Age

Country

Can you please tell me how you heard about the Skinny Coach Solution? (Who? What site? Where online?)