Questionnaire – Personalized Weight Loss Course

Question 2.
Where would you feel more comfortable and find it easier to relax? Combine your answer with one of the three statements to best describe your weight problem?

Question 3.
Select just one option from these four lifestyle alternatives?

Question 4.
Which of these two descriptions with improved choices do you feel would be most helpful for you?

Question 5.
Which statement best describes how you feel about tackling your weight problem?

Question 6.
Which statement best explains your present desire to lose weight together with the most appealing option for you?

Question 7.
Select the two statements which you feel are the biggest contributing factors in preventing you from successfully losing and managing your weight?

Statement 1. No matter how often I have attempted to lose weight, I simply cannot manage too, as I lack the resolve to stick to my plans.

Statement 2. I feel that my weight and my inability to manage it properly is a kind of self-punishment. I want to be rid of this negative behaviour but find it increasingly difficult to achieve.

Statement 3. I have a real problem with compulsive overeating which I am at present unable to curb.

Statement 4. I am constantly struggling with what I was able to eat in the past and what I want to eat in the present and with how my body’s needs have changed over time. I would like an improved food/need balance in my life.

Statement 5. I do not eat primarily when I am hungry. I have surrounded food and the act of eating with false emotions and pleasures, which are never truly fulfilled.