Skip to primary navigation
Skip to content
Skip to primary sidebar

Lose Weight Fast. Feel Great. Look Like A Million.

FED-UP WITH THE HYPE? GET REAL-LIFE PROVEN TIPS!

Home
START HEREWeight Loss 101
CAN’T LOSE?Common Causes
BRAIN RESETForget Willpower!
- Self-hypnosis for Weight Loss
- Weight Loss Motivation
NUTRITIONEat 4 Your Type
WORKOUTSExercise Smarter
- Fun Exercises for Quick Weight Loss
- Best Exercise to Burn Fat 24/7: IT
FASTER RESULTSWhat We Recommend

Home » Weight Loss Survey

FREE Guide: How to Boost Your Metabolism Naturally- Yours for Taking Our Quick Weight Loss Survey

Take this 3-min. weight loss survey and get your copy of “How to Boost Your Metabolism Naturally”!

The survey is super-quick and anonymous (you don’t have to fill in your name or email).

Your frank answers will help us provide you with NEW free stuff to suit your specific weight loss needs. The new stuff will be freely available to you as a member of Brainy Bites community.

Not a member yet? Join us here and get more goodies!

OK, here we go (all fields followed by an asterisk must be filled in):

1. Your weigth loss goal for the next 6 months-1 year: *

2. What have you tried so far that has NOT worked for you? *

3. Your biggest frustration/challenge achieving this goal: *

4. Which of these are you constantly experiencing? *

patience to follow a long-term weight loss plan
food cravings (sweets, fatty foods, carbs, etc.)
frequent hunger pangs
confusion over healthy fat-burning foods
emotional overeating (due to stress, boredom, etc.)
eating on the run
poor sleep
low motivation to exercise consistently
lack of support from family, friends or peers
one or more specific health issue/s

Choose one or more from the list above.

5. What would help you the most to reach your ideal weight? *

6. Your most pressing question about getting the pounds off: *

7. Your biological/hormonal make up: *

Female
Male
Prefer not to answer

When it comes to losing weight, your biological/hormonal blueprint is key.

8. Your age: *

Primary Sidebar

Get Free Insiders’ Report

Skyrocket Your Fat Loss Success

Discover the blueprint of getting (and keeping) the weight off. Plus, you will get updates, DOs and DON’Ts, reviews and motivation tips – Just enter your name and email below:

Name

Email Address

Connect with Us

Search this site

Search for...

About
Contact
Free Help
Survey
Disclaimer & Disclosure
Privacy
Resources
Write for Us

Website Content Protected & Monitored by DMCA

DMCA PROTECTED

CONTENT DISCLAIMER: The information presented on BrainyWeightLoss.com is educational in nature and is provided only as general information. This website is not designed to, and should not be construed to, provide medical advice to you or any other individual for diagnosing, treating or curing any disease and is not intended as a substitute for medical or professional care and treatment... more >>

AFFILIATE DISCLOSURE: BrainyWeightLoss.com includes product reviews and recommendations, which contain affiliate links. If you buy something through these links you will not pay a penny more and we receive a commission, which helps keep the lights on... more >>

COPYRIGHT NOTICE: We reserve the right to pursue unauthorized users of written content and images copied from this website according to DMCA. Violators may be liable for actual damages, loss of income and profits derived from the use of written content or images and the costs of collection and/or statutory damages.
In plain English... Please do not copy or unscrupulously reuse the content of this website for commercial purposes. You can reproduce limited parts of it for non-commercial use only, as long as you include an active link back to this site. Much time and effort was put into developing this content - it deserves to be attributed. Have a heart. Thank you.