We want to know if we've been able to help you make changes to your lifestyle. Fill out the following form and let us know what changes you've made. Male Female Number of pounds/kg lost over weeks Number of inches/cm lost over weeks when did you decide to follow our advice? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 01 02 03 04 05 06 07 08 09 10 11 12 / 2004 2005 2006 2007 2008 Tell us about the changes you've made
Number of inches/cm lost over weeks
when did you decide to follow our advice? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 01 02 03 04 05 06 07 08 09 10 11 12 / 2004 2005 2006 2007 2008
Tell us about the changes you've made
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