Are You Ready?

1. Is your weight keeping you from things you would enjoy?

  • Yes
  • No

2. Do you have serious medical conditions such as diabetes, high cholesterol, sleep apnea or high blood pressure?

  • Yes
  • No

3. Do you feel like your weight has had a negative impact on your health?

  • Yes
  • No

4. Do you ever wish you didn’t eat the things you eat?

  • Yes
  • No

5. Is your BMI 40 or above?

  • Yes
  • No

6. Do you ever wonder if your life would be different if you weighed less?

  • Yes
  • No

7. Can you commit to starting and maintaining an active lifestyle that includes exercise?

  • Yes
  • No

8. If you find comfort in food and eating, are you willing to change?

  • Yes
  • No

9. Will your family and friends support your weight loss efforts?

  • Yes
  • No

10. Do you agree with this statement? Once I lose weight, I will be able to go back to my old habits and lifestyle.

  • Yes
  • No

11. Do you believe losing weight will have a positive influence on your life?

  • Yes
  • No