Diets Questionnaire:

Age

Sex Please Select Male Female

How long have you been dieting: Please Select 0-6 Months 7-12 Months 1-2 Years 2-3 Years 4-5 Years 5+ Years

Menu suggestions Yes No Don't know

Information about different diets? Yes No Don't know

Calorie content of foods/ calorie counter? Yes No Don't know

Fat content of foods? Yes No Don't know

Menu planner template? Yes No Don't know

Tailored menu and shopping list? Yes No Don't know

Personal fitness plan? Yes No Don't know

Facility to ‘weigh in’/log your progress/ weight chart? Yes No Don't know

BMI calculator Yes No Don't know

Recipe ideas? Yes No Don't know

Specialist diets – veg, low carb, etc Yes No Don't know

Daily motivation email? Yes No Don't know

1-1 support/mentor? Yes No Don't know

Motivation techniques/goal setting? Yes No Don't know

Fitness & exercise advice? Yes No Don't know

Daily diary – private online record Yes No Don't know

To do list – plan meals, exercise, shopping Yes No Don't know

Weekly newsletter Yes No Don't know

Mens section Yes No Don't know

Success stories Yes No Don't know

Video exercises/workout for home and gym – online – sent to ipod Yes No Don't know

Podcast sent once a month Yes No Don't know

Forum for chat/support (create own group to chat privately) Yes No Don't know

Diet buddy Yes No Don't know

Diet blog Yes No Don't know