Online Weight-Loss Assessment Survey | Weight-Loss Essentials

Your Name:*
Your surname:*
Your email address*

In what area do you currently reside?*
- Gauteng
- Limpopo
- North West
- Mpumalanga
- Kwazulu-Natal
- Free-State
- Eastern Cape
- Northern Cape
- Western Cape
- Namibia

What is your current weight (in kg)?*
What is your height (in cm)?*

How would you rate your quality of life?*
- Very Poor
- Poor
- Average
- Good
- Very Good
How would you rate your level of happiness?*
- Very Poor
- Poor
- Average
- Good
- Very Good
How would you rate your satisfaction with your personal relationships?*
- Very Poor
- Poor
- Average
- Good
- Very Good
Hidden
W7 Total
Hidden
W7 = 0 – 2
Mental well-being, together with family and friend based support structures are valuable in achieving and maintaining a healthy lifestyle and weight. It appears you feel you are happy, have a good quality of life and are satisfied with your relationships, and so have a good start by which to achieve your goals. Despite this, unexpected stress and large changes in lifestyle can lead to emotional volatility during their early stages and relapses in bad lifestyle habits.
Hidden
W7 = 3 - 4
Mental well-being, together with family and friend based support structures are valuable in achieving and maintaining a healthy lifestyle and weight. It appears that you generally express satisfaction in this space, but some aspects could need attention. This is especially true when taking into account the possibility of unforeseen stress and the emotional toll large changes in lifestyle can create during their early stages.
Hidden
W7 = 5 - 8
Mental well-being, together with family and friend based support structures are valuable in achieving and maintaining a healthy lifestyle and weight. It appears that you are experiencing low satisfaction in some or all aspects of this space. This may be in part due to your health and bodily appearance, and addressing these factors actively will likely improve your quality of life significantly. Improving your mental state will also help you stick to healthier choices.
Hidden
W7 = 9 - 12
Mental well-being, together with family and friend based support structures are valuable in achieving and maintaining a healthy lifestyle and weight. It appears that you are experiencing very low levels of satisfaction in some or all aspects of this space. This may be in part due to your health and bodily appearance, and addressing these factors actively will likely improve your quality of life significantly. Improving your mental state will also help you stick to healthier choices.

Weight-loss Assessment

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Weight Assessment V2

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