form_title=Weight Loss Solutions form_header= Be the best you and the healthiest you with weight loss solutions! What diets have you tried before?*= _ Do you live an active lifestyle?*= () Yes () No () Not Sure Do you eat a balanced diet?*= () Yes () No () Not Sure How many times a week do you exercise?*= {1, 2, 3, 4, 5, 6, 7, Not Sure}