To get advice from the 'Diet Doctor' you must complete all fields as fully as possible, otherwise the 'Diet Doctor' will not be able to help you. You will be able to ask your specific question at the end of the form. We can only answer questions from people who are currently using the SlimTone Range.

The 'Diet Doctor' can only offer suggestions based on the information you provide. You should consult your Doctor and/or Nutritional Advisor before undertaking any slimming or exercise programme.

Your Details	* These fields must be completed in order to answer your question

*Full Name:
*Login Name:
*Email Address:
*Current Weight:		Lbs   Kg     Please state ‘kg’ or ‘lbs’
*Height:
*What do you consider to be your ideal weight?		In Kilograms (kg)
*Where do you store most of your fat?		Hips, Buttocks and/or Thighs Abdominals, Love handles and/or Stomach Upper Body, Chest and/or Back Arms
*How long have you used SlimTone?		Weeks
*What other products do you use?
*What was your weight before starting SlimTone?		Please state 'kg' or 'lbs'
*How many capsules do you take per day and at what time?		Maintenance Dose Original Stimulant Free Breakfast - 0 1 2 3 Lunch - 0 1 2 3 Dinner - 0 1 2 3   Moderate Pace Breakfast 0 1 2 3 0 1 2 3 Lunch 0 1 2 3 0 1 2 3 Dinner 0 1 2 3 0 1 2 3   Fast Pace Breakfast 0 1 2 3 0 1 2 3 Lunch 0 1 2 3 0 1 2 3 Dinner 0 1 2 3 0 1 2 3 1-2 hours before sleep - 0 1 2 3

Food

*How many meals do you eat per day?		1 2 3 4 5 6 6+
*What is the average no. of calories per meal?		Breakfast
		Mid-Morning Snack
		Lunch
		Afternoon Snack
		Dinner
		Late Snack
*Please give approximate daily total:		Total
*How would you best describe your meals?		High Moderate to High Moderate Low   Carbohydrate
		High Moderate to High Moderate Low   Protein
		High Moderate to High Moderate Low   Fat

Exercise

*How often do you perform exercise per week?		1 2 3 4 5 6 6+    e.g. Weight training, Brisk walking, dancing, cycling, using an aerobic, machine, running, swimming...
*What time do you exercise each day?		Monday Tuesday Wednesday 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+    6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+    6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+    Thursday Friday Saturday 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+ 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+ 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+ Sunday 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+   I don't exercise. (Please tick)
*On exercise days what time do you take SlimTone? Multiple selections allowed. To select more than one option, press the 'CTRL' key and click each item.		Dose 1 Dose 2 Dose 3 (fast pace only) 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+    6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+    6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 8pm+
*Average number of minutes per exercise session?		Please state 'kg' or 'lbs'
*What type of exercise intensity?		Low - Slightly out of breath Medium - Out of breath, slight muscle ache High - Very out of breath with burning muscles
*Which muscle groups do you target? Place a tick in each section		Legs, Hips & Buttocks Abdominals & Obliques Upper Body Monday Tuesday Wednesday Thursday Friday Saturday Sunday
*Finally, please enter your specific question:
		Please note that although we will endeavor to answer your question as soon as possible it must be noted that we receive many thousands of diet doctor requests every week. Thank your for your patience and understanding.

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