This survey will take about 15-20 minutes to fill out. You will not be able to save your progress and return, but you can spend as much time as you need on the page without losing data, unless the page reloads.

To navigate through the questionnaire, click or tap the "Next" or "Previous" buttons in the bottom right part of the page. Once you see the "Submit" button, you are at the end of the survey. Clicking or tapping the "Submit" button will finalize your results.

There is a lot of food options, some are “diet” foods, and some are “fun” foods. You’re allowed everything on the list, so if you might like it as an option in the future, please pick it. The more the better. Don’t not pick something because you think you aren’t allowed to have It. Let me be the judge of that. If you pick 10 foods on this list your diet is going to be very boring, and more than likely, you will be burnt out in a week. I want this to be a long-term diet, not chicken and rice every meal. I will try and incorporate some of the foods you enjoy, making the process a little easier!

Please select the protein sources you would like as part of your meal plan:

Please select the starches you would like as part of your meal plan:

Please select the cereals you would like as part of your meal plan:

Please select the fruits you would like as part of your meal plan:

Please select the vegetables you would like as part of your meal plan:

Please select the dairy you would like as part of your meal plan:

Please select the fat sources you would like as part of your meal plan:

Please select the any other miscellaneous items you would like as part of your meal plan:

The rest of these questions will help me get a feel of what your lifestyle Is like and will help me create a diet that will better fit you. We don’t want the diet to take over your life... just fit in it. Try and answer these as honestly as possible.

Always consult your physician prior to participating in the diet and exercise program that will be provided for you. The Information given to you is not to replace medical advice or to substituted for a physician. "Get Toned" expressly disclaims responsibility for any adverse effects arising from following any of the nutrition coaching or exercise programs without the appropriate medical supervision.