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* Age:
   
 
 

* Sex:
Female Male
 
 
 
* What was your highest weight?
   
 
 
 
* How much weight have you lost?
   
 
 
 
* What is your goal weight?
   
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I am happy with my weight loss
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I would like to lose more weight
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I look better since I have lost weight
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I feel better since I have lost weight
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I have become more attractive since my weight loss.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I will be more attractive if I lost more weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I am more aware of my faults.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I feel others notice my faults more.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Health was the main motivating factor to my weight loss.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Appeareance was the main motivating factor to my weight loss.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
People treat me differently since I have lost weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
People treat me better since I have lost weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I treat myself better since I have lost weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I am at a medically healthy weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I need to lose more weight to be considered medically healthy.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I need to lose more weight to make myself happy.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I am happy with my body.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
If I lose more weight, I'll be more attractive.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
If I gain weight, I will become less attractive.
 
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