Primary Prevention Inc. - Weight Loss Readiness

Answer the questions below to see how well your attitudes equip you for a weight loss program. For each section choose the answer that best describes your attitude.

There are six sections to this survey.

Goals and Attitudes:

Weight Loss Readiness Test - Section I

1. Compared to previous attempts, how motivated are you to lose weight at this time?

Not at all motivated

Slightly motivated

Somewhat motivated

Quite motivated

Extremely motivated

2. How certain are you that you will stay committed to a weight loss program for the time it will take to reach your goal?

Not at all certain

Slightly certain

Somewhat certain

Quite certain

Extremely certain

3. Consider all outside factors at this time in your life ( the stress you're feeling at work, your family obligations, ect. ). To what extent can you tolerate the effort required to stick to the program?

Cannot tolerate

Can tolerate somewhat

Uncertain

Can tolerate well

Can tolerate easily

4. Think honestly about how much weight you hope to lose, and how quickly you hope to lose it. Figuring a weight loss of one to two pounds per week, how realistic is your expectation?

Very unrealistic

Somewhat unrealistic

Moderately unrealistic

Somewhat realistic

Very realistic

5. While losing weight, do you fantasize about eating a lot of your favorite foods?

Always

Frequently

Occasionally

Rarely

Never

6. While losing weight, do you feel deprived, angry and/or upset?