Enter your gender	Male      Female
Enter your age	12 - 18      19 - 30      31 - 40      41 - 50      51 - 60      61 +
How much weight do you ideally want to lose?	1 - 5 kg      6 - 10 kg     11 - 20 kg     21 + kg
Why do you want to lose weight?	Health reasons      Cosmetic reasons      Both
Do you have a slow metabolic rate and find it difficult to lose weight?	Yes      No
Do you have problems with dietary control?	Yes      No
Do you battle to maintain the levels of motivation required for successful weight-loss?	Yes      No
Do you find it hard to make that final decision that will commit you to a weight loss programme?	Yes      No