Healthy Weight Center

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Registration 1

Step 1 of 2

Congratulations on making the important decision to achieve and maintain a healthy weight!

Please tell us a bit about yourself so we can personalize the tools to best help you reach your goals. This should only take you about 10 minutes.

1. Your Height is:

2. Your Weight is:

3. What’s your date of birth?

4. You are: female
male
5. The Nickname you’d like to use for this program is:

6. The country you live in is:

7. Your email address is:

8. What best describes your occupation (please select the best answer)? Full-Time StudentStay at home mom or dad
ManagementTeacher or professor
Administrative, financial or clerical sales or serviceTechnologist, technician or technical occupation
Occupation in farming, forestry, fishing or miningTrades, transport or equipment operator
Occupation in processing, manufacturing or utilitiesUnemployed at present or on work leave
Professional services (e.g. certified accountant, lawyer, doctor, engineer)An occupation not listed

9. What is the highest level of education you’ve completed (please select one answer)? Attended grammar schoolCompleted grammar school (8th grade)
GEDGraduated high school
Attended high school (did not complete)Graduated college
Attended college (did not complete)Masters
Some post graduateMD
Doctorate

10. Are you pregnant or breastfeeding? Yes
No

We’re going to take some of the above information and begin customizing your program...

Healthy Weight Center is for educational purposes only and is not to replace the advice of your family physician or other health care provider. HWC Version 1.0 is Copyright 2000-2008 by V-CC Systems Inc. All rights reserved including related methods and software. All worldwide patent rights reserved.