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My Weight Action Plan
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What works for weight management is different for everyone. Take this short questionnaire to get personalized suggestions for reaching a healthier weight.
What’s your current weight? (in pounds)
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How long have you been trying to lose weight?
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Since childhood / adolescence
For less than 2 years
For 2 - 9 years
For 10+ years
I'm not actively trying to lose weight right now
Do/did your parents or siblings struggle with weight?
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Yes
No
Which of the following factors best describes the reason for your weight gain?
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My weight has gone up slowly over time
A life change (pregnancy, move, divorce, etc.)
I’ve always struggled with my weight
A change in my health (menopause, an injury, etc.)
I don't know
Do you feel your weight is impacting your health? If so, how?
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(choose one)
Joint or muscle pain / mobility issues
Depression / anxiety
Higher risk of diabetes or heart issues
Sleep apnea / breathing issues
My weight is not impacting my health right now
What do you feel is holding you back from reaching your best weight?
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(choose up to two)
Emotional eating / stress eating
Social situations / tempting food is always around
Not enough time / too busy
Medical issues
I’m not sure what to eat
What's your biggest motivation for reaching a healthier weight?
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(choose one)
More energy / feeling better
Decreased risk of future health problems
Self-image and confidence
Less pain / increased mobility
Have you ever spoken to a physician who specializes in the medical treatment of weight?
Yes
No
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