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Lose Weight & Keep It Off

Quick 2-Minute Questionnaire

Before the class, tell me a little about you.

Click the button below to start.

Start

Question 1 of 7

1. Which best describes where you’re at with your weight right now? 
(Choose one)

A

I’ve lost weight before, but I keep putting it back on

B

My weight has slowly crept up as I’ve got older

C

I’ve been trying to lose weight for years

D

I know I need to lose weight, but I’m not sure where to start

E

I’m making healthy changes, but I’m not getting the results I want

F

My weight is okay - I mainly want to improve my health and feel better

Question 2 of 7

2. What are you struggling with most right now?

(Select all that apply)
A

I know what to do, but I struggle to stick to it

B

Cravings or snacking

C

Emotional or stress eating

D

Eating well during the week, then falling off track

E

Weekends, eating out or social occasions

F

Knowing what to eat

G

Feeling hungry or deprived when trying to lose weight

H

Low energy or motivation to exercise

I

Healthy eating feels too complicated

J

Losing weight feels harder as I get older

K

I’m worried about my health

L

I’m tired of dieting and starting over

Question 3 of 7

3. What have you tried before to lose weight?

(Select all that apply)
A

Calorie counting

B

Low-carb

C

Paleo

D

Keto

E

Whole Food Plant-Based

F

Vegan

G

Carnivore

H

Cutting out certain foods

I

Intermittent fasting

J

Meal replacements or shakes

K

Weight-loss programs (WeightWatchers etc)

L

Strict meal plans

M

Gym or exercise programs

N

Weight-loss medication

O

Just trying to “eat healthier”

P

I feel like I’ve tried everything!

Q

I haven’t really tried anything yet

Question 4 of 7

4. What would you MOST love to change right now? 
(Choose one)

A

Lose weight and feel comfortable in my body again

B

Have more energy

C

Improve my health

D

Feel fitter, stronger and more capable

E

Feel more confident

F

Stop worrying about my weight

G

Feel more in control around food

H

Make healthy eating feel easier

I

Feel like myself again

Question 5 of 7

5. What’s the BIGGEST reason you want to lose weight and improve your health? 
(Choose one)

A

I want to protect my health as I get older

B

I want more energy

C

I want to feel comfortable in my clothes

D

I want to feel more confident

E

I want to be fitter and stronger

F

I want to stay active with my family or grandchildren

G

I want to travel and enjoy life more

H

I’m worried about where my health is heading

I

I don’t want my weight holding me back anymore

J

I simply want to feel good again

Question 6 of 7

6. Imagine yourself 12 months from now. Which would make you think, “I did it”? 
(Choose the one that matters most)

A

I’ve lost the weight and kept it off

B

I feel healthy and full of energy

C

I feel comfortable and confident in my body

D

I eat well without feeling like I’m on a diet

E

I’m fitter, stronger and more active

F

Looking after my health has become part of who I am

G

I’m enjoying life and doing more of the things I love

H

I feel like me again

Question 7 of 7

7. Finish this sentence...
If I could lose the weight, keep it off and feel good again, I would…

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