Restarting the program.

You’ve chosen to restart the program. Please review your Preparation questions below and make any changes necessary.

Then complete the Review Checklist and move forward to the Overeating phase.

If you’d like, you can review the Training videos before getting started.

Getting Prepared

Please view this video, answer the following questions, download and study your custom food plan, and complete the Checklist before beginning the program.

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Complete the video above to unlock the next step.

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Video completed.

Next step

Answer These Questions

Hit Save & Continue below as you go – your answers will be saved so you can return later to finish the form.

1Start

2Excuses

3Motivation

4Health Issues

5Acknowledgements

6Customize Plan

This form will take about 10-15 minutes to complete, and will help you establish your goals and create a plan you can stick to. When you're ready, press 'begin' below.

Excuses

Below is a list of excuses used by dieters to explain why they failed to lose weight on other programs.

An excuse is often the first sign that you are about to give up. I want you to decide right now that if you find yourself thinking of any one of these excuses, you will remember the reasons you started the diet and muster the determination to see it through.

Check each of the following excuses you may have used before:

Enter the excuses you may have used before:

I can't exercise

I was too busy, no time

It was just too hard

My life was too hectic

It cost too much

I was under too much stress

I'm an emotional eater

I eat when I get bored

All we had to eat was junk food

I couldn’t stand the hunger

I didn't know what I should eat

I wasn’t sure how much to eat

I had no support

I didn’t know how to cook

I couldn't read labels

I have bad genes

I have a weak thyroid

My metabolism is slow

I'm addicted to food

My medication was the problem

Other excuses

What's your true "Why"?

There are many reasons to lose weight; to look better, improve your health, or to restore your self-esteem. Regardless of the reasons, the "WHY" behind those reasons is much more powerful than what might seem to be the obvious benefits.

The "WHY" is at the core of who you are, it's connected to your emotions. When you realize what your true "Why" is, it can move you to tears. Knowing your "Why" will help you achieve the weight you always wanted.

If you carefully examine the reasons you want to lose weight, you will find why those reasons are important. Do your best to think about each question to find an answer. You may be surprised by what you realize.

No. 1 Reason(Required)

Other Reasons(Required)

Reasons Summary(Required)

Current Health Issues

Please check each condition that required you to take prescription or over-the-counter medication in the past 30 days:

Diabetes

Do you take medication or insulin to control your diabetes?

Yes

How is your diabetes medication administered?

Have you had a HbA1c blood test?

Yes

What was the approximate value of your last HbA1c blood test? I.e. 48

High Blood Pressure

What was the systolic (first/higher number) of your last reading?

If 130 / 90 was your last reading, enter 130.

What was the diastolic (second/lower number) of your last reading?

If 130 / 90 was your last reading, enter 90.

Do you take medication to control your high blood pressure?

Yes

How often do you take medication for high blood pressure?

High Cholesterol

What was your last measured cholesterol level? (i.e. 240)

Do you take medication to lower your cholesterol level?

Yes

How often do you take medication to lower your cholesterol level?

Every day

At least once a week

At least once a month

Back Pain

How often do you have back pain?

Every day

A few times a week

A few times a month

A few times a year

When you have back pain, how severe is it?

1-2 (Mild)

3-4 (Mild to moderate)

5-6 (Moderate)

7-8 (Moderate to severe)

9-10 (Severe)

Do you take medication for back pain?

Yes

How often do you take medication for back pain?

Every day

A few times a week

A few times a month

A few times a year

Osteoporosis

Have you had a bone density test?

Yes

What was your T Score, if you know it?

Allergies

How often do you experience allergy symptoms?

How long do your allergy symptoms last?

How severe are your allergy symptoms?

Do you take any medications for allergy symptoms?

Yes

What type of medication do you take for allergy symptoms?

Over-the-counter

Prescription

How often do you take medication to prevent or alleviate your allergy symptoms?

Mood Swings

How often do you experience mood swings?

How long do your mood swings typically last?

How severe are your mood swings?

Do you take medication for mood swings?

Yes

How often do you take medication for mood swings?

ADD/ADHD

How often do you experience ADD/ADHD symptoms?

How severe are your ADD/ADHD symptoms?

Do you take medication for your ADD/ADHD symptoms?

Yes

How often do you take medication for your ADD/ADHD symptoms?

Depression

How often do you experience symptoms of depression?

How severe are your depression symptoms?

Do you take medication for depression?

Yes

How often do you take medication for depression?

Seizures

How often do your seizures occur?

How severe are your seizures?

Do you take medication for seizures?

Yes

How often do you take seizure medication?

Eating Disorder

How often does your eating disorder manifest?

How severe is your eating disorder?

Do you take any medications for your eating disorder?

Yes

How often do you take medication for your eating disorder?

Indigestion / Heartburn / Acid Reflux

How often does your indigestion / heartburn / acid reflux occur?

How severe are your indigestion / heartburn / acid reflux symptoms?

Do you take medication for indigestion / heartburn / acid reflux?

Yes

How often do you take medication for indigestion / heartburn / acid reflux?

Inflammation

How often does inflammation occur?

How severe is your inflammation?

Do you take medication for inflammation?

Yes

How often do you take medication for inflammation?

Dizziness / Vertigo

How often do you experience dizziness/vertigo symptoms?

How severe are your dizziness/vertigo symptoms?

Do you take medication for dizziness/vertigo symptoms?

Yes

How often do you take medication for dizziness/vertigo?

Arthritis

How often do you experience arthritis symptoms?

How severe are your arthritis symptoms?

Do you take medication for your arthritis?

Yes

How often do you take arthritis medication?

Asthma

How often do you experience asthma symptoms?

How severe are your asthma symptoms?

Do you take medication for your asthma?

Yes

How often do you take medication for your asthma?

Shortness of Breath

How often does shortness of breath occur?

How severe is your shortness of breath?

Do you take medication for shortness of breath?

Yes

How often do you take medication for shortness of breath?

Fibromyalgia

How often do you experience fibromyalgia symptoms?

How severe is your fibromyalgia?

Do you take medication for fibromyalgia?

Yes

How often do you take fibromyalgia medication?

Insomnia / difficulty sleeping

How often do you have difficulty sleeping?

How severe are your insomnia symptoms?

Do you take medication for insomnia?

Yes

How often do you take medication for insomnia?

Constipation

How often do you have bowel movements?

How severe is your constipation?

Do you take medication for constipation?

Yes

How often do you take medication for constipation?

Chronic Fatigue

How often do you experience chronic fatigue symptoms?

How severe are your fatigue symptoms?

Do you take medication for chronic fatigue?

Yes

How often do you take medication for chronic fatigue?

Headaches

How often do your headaches occur?

How severe are your headaches?

Do you take medication for your headaches?

Yes

How often do you take medication for headaches?

Neck Pain

How often does your neck pain occur?

How severe is your neck pain?

Do you take medication for your neck pain?

Yes

How often do you take medication for neck pain?

Low Testosterone or Estrogen

Do you take medication or synthetic hormones for it?

Yes

How often do you take medication or synthetic hormones?

Any other condition or symptom not mentioned above?

What condition or symptom?

How often does the condition occur?

How severe is the condition?

Do you take medication for it?

Yes

How often do you take the medication?

Acknowledgements

I understand that:

If I'm pregnant, nursing, or currently under active care for a condition, I should consult my physician before starting any weight loss program.(Required)

If I'm pregnant, nursing, or currently under active care for a condition, I should consult my physician before starting any weight loss program.

The information presented is not medical advice.(Required)

The information presented is not medical advice.

I am not entering into a doctor-patient relationship with Dr. Schmitt or Core-22.(Required)

I am not entering into a doctor-patient relationship with Dr. Schmitt or Core-22.

I should consult my physician before altering any medications I might be taking.(Required)

I should consult my physician before altering any medications I might be taking.

Customize Your Food Plan

Your Current Age:(Required)

Todays Weight:(Required)

Nearest whole number.

Weight you would like to reach:(Required)

Dream weight:(Required)

Sex:(Required)

Male

Female

Height(Required)

Below 5ft. 5 ins

5ft. 5 to 5ft. 8 ins

5ft. 8 to 5ft. 11 ins

Above 5ft. 11 ins

Strenuous Activity or Exercise(Required)

None

Less than three days a week

Three or more days a week

Where do you store most body fat?(Required)

Hips, buttock, thighs, arms

Belly / Abdomen

Evenly throughout my body

Comments

This field is for validation purposes and should be left unchanged.

Return to Training

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Forms completed.

Next step

Your Custom Food Plan

Your personalized food plan has been created based on your answers above. Download and study the food plan before moving on to the checklist below. Your food plan is always available on your dashboard.

Download My Food Plan

TEST

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Next step

Review Checklist

Questions

Check the boxes to answer "yes" to each question before you begin the program.

Excuses checklist

Do you have an accurate scale to weigh yourself each morning? Do you have a food scale to weigh your protein servings? Have your supplements arrived? Have you downloaded, studied, and understand the food plan so you know exactly what to eat and how to take your supplements? Do you have the food you will need for two days of Preparation and your first few days of Weight Loss? Have you considered taking a few "before" photos to document your weight loss transformation? Is it morning? (Your first day needs to be long enough to create an impact)

Return to Training

You must complete the video and forms above to unlock the next step.

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Forms complete.

Next step: Overeating

My Diet

1. Orientation

2. Training

3. Preparation

4. Overeating

5. Weight Loss

6. Stabilization

7. Maintenance

Restarting the program.

Getting Prepared

Answer These Questions

Excuses

What's your true "Why"?

Current Health Issues

Acknowledgements

Customize Your Food Plan

Your Custom Food Plan

Review Checklist

Questions

My Provider

Step 7 - Maintenance

Step 6 - Stabilization

Step 5 - Weight Loss

Step 4 - Overeating

Step 3 - Preparation

Step 2 - Training