Weight Loss Screening Questionnaire

You will be helping me include vital information for my readers in my soon to be released weight loss book.

Weight loss screening questionnaire. Yes check all that apply. In the past month have you. Weight loss core strength and low back pain bone health training periodization other chronic diseases conditions please specify.

Please answer all of the following questions. Weight or to maintain your current weight. The military diet the military diet claims that it can help you lose weight at the fastest speed and that is up to 10 pounds or 4 5 kilograms in just a single week.

What s the main reason you are seeking treatment at this time. What is your current weight. What is your desired goal weight at 12 18 months after surgery.

Yes i am on a diet. Toronto health and wellness centre brookfield place suite 3000 181 bay st po box 818. No skip to question 10.

Here are the instructions how to enable javascript in your web browser. Dalle grave et al. Weight loss questionnaire 1.

O other describe. If a question does not apply to you answer with n a. Have you tried to lose weight in the past.