Are These Hidden Things Sabotaging Your Weight Loss?
How often do you eat out or order takeout?
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Rarely (0-1 times per week)
Occasionally (2-3 times per week)
Frequently (4+ times per week)
Do you track your food intake (calories, macros, portions)?
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Yes, consistently
Sometimes
Never
How do you usually eat your meals?
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Sitting at a table, without distractions
While watching TV or scrolling my phone
On the go or at my desk
How much water do you drink daily?
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8+ glasses
4-7 glasses
Less than 4 glasses
How many hours of sleep do you get per night?
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7-9 hours
5-6 hours
Less than 5 hours
Do you find yourself snacking late at night?
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No, I don’t snack at night
Sometimes
Yes, almost every night
How often do you feel bloated after meals?
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Rarely
Sometimes
Often
Full Name
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