Weight & food perceptions test

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Nightingale Hospital

Questionaire

Are you concerned or unhappy with your weight? Our test can help clarify your concerns. Simply answer the following eight questions about your feelings about weight and food. Please be honest with yourself.

Q 1. Do you consider yourself either overweight or obese?

Yes    No

Q 2. Is your weight related to a medical condition?

Yes    No

Q 3. Are any members of your family overweight?

Yes    No

Q 4. Are you unsatisfied with your weight?

Yes    No

Q 5. If you have tried to lose weight in the past, have you considered one or more of the following methods? - Liquid diet - Starvation diet - Gastric band - Medication - Weight loss groups - Low calorie diet

Yes    No

Q 6. Would you say you sometimes eat when you're not really hungry?

Yes    No

Q 7. Would you say you sometimes overeat, past the point of being full?

Yes    No

Q 8. Do you believe you overeat for one or more of the following reasons? - Loneliness - Boredom - Unhappiness - Habitual

Yes    No

Q 9. Do you feel that your weight stops your from carrying out activities that you would like to do?

Yes    No

“When you have a problem and you drink, take drugs or gamble, the problem won’t go away. Stay and tackle the problem”
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