The more completely you answer the questions, the more accurate your assessment will be and your plan can be more specifically tailored to you - better helping you reach your goals...
HEALTH QUESTIONNAIRE
WEIGHT LOSS QUESTIONNAIRE
WEIGHT HISTORY
8. As best you can recall, what was your highest body weight at each of the following - in pounds (multiply kg by 2.2)?
Eating Pattern Questionnaire
Please answer the following questions and check the appropriate boxes that most closely describe your eating patterns.
8. How many times EACH DAY, on a typical day, do you have the following?