Therapy Planning - Wonderfeelz LifStyles

All the obesity individuals will not have same factors. Obesity is heterogenous.

Therapy planning should be made individually. Otherwise, effectiveness will be lost.

Even if you take some medicines or treatment by qualified medical doctors, still the psychological factors will have their influence.

This assessment will give a wholistic view about the areas your factors are PROBABLY operating on your body weight control.

Kindly answer every question after thoroughly understanding and choosing correct alternative.

There are 6 Alternatives for each question –

ALWAYS

MOSTLY

FREQUENTLY

SOMETIMES

RARELY

NEVER

FOR THE BASIC REPORT WE DO NOT CHARGE.

WE WILL CHARGE ONLY FOR COMPREHENSIVE REPORT

Your Name *

Contact Number *

Email Address if you want feedback in PDF

Date of Birth

Number of months you are taking active remedy for Obesity / Weight control *

Mention your gender and any other health issues you have *

1. I am able to adapt to changing situations, keep thinking about negative experiences *

2. Feel calm and relaxed by distracting attention from negative thoughts *

3. I don’t suppress my emotions *

4. I think I can handle stress – so that I don’t prefer any new stress management sessions *

5. People suggest me many things, but personally I feel my health issue is permanent *

6. I started getting used with my obesity and related issues *

7. I was spending money and time to improve my health *

8. I am ready to spend money and time to achieve my health goal *

9. I am actively searching through known people for new sources who can help me reduce weight *

10. I am not able to reduce some mistakes I do *

11. I never can meet expectations of my family members or other important people *

12. I want to achieve better quickly than others *

13. People appreciate the way I keep things neatly at home or office *

14. When I see something very delicious, I have to eat right away *

15. I am always hungry enough to eat at any time *

16. Sometimes when I start eating, I just can’t stop how much I eat *

17. When I feel sad, I often eat too much *

18. When I am tense, or feel lonely or nervous, I eat to relax or calm down *

19. When I am depressed, I want to eat *

20. I deliberately take small helpings to control my weight *

21. I don’t eat some foods because they make me fat *

22. I consciously hold back on how much I eat at meals to keep from gaining weight *

23. I find difficult to relax myself *

24. People say I react excessively in situations *

25. I feel I am emotionally sensitive *

26. I worry about many things *

27. When I am engaged in work, still automatic thoughts worry come to mind *

28. I worry about future *

29. I feel life is meaningless *

30. I feel dull and depressed *

31. I don’t enjoy things in life that I was enjoying earlier *

32. Do You feel you require more rest *

33. Do you start things without difficulty but get weak as you go on? *

34. Do you have problems starting things? *

35. Do you find it more difficult to find the correct word? *

36. Do you make slips of the tongue when speaking? *

37. Do you find difficulty and take time to think clearly? *

38. I feel short of breath while walking, talking or doing some physical work *

39. I keep noticing my breathe and I have some difficulty in breathing *

40. I often have irregular breathe or deep breathe *

1. Obesity Therapy Planning - Suppressing Emotions (out of 15)

2. Obesity Therapy Planning - Amotivation (out of 15)

4. Obesity Therapy Planning - Perfectionism - Concern for Mistakes (out of 5)

5. Obesity Therapy Planning - Perfectionism - Others' Expectation (out of 5)

6. Obesity Therapy Planning - Perfectionism - Personal Standard (out of 5)

7. Obesity Therapy Planning - Perfectionism - Organization (out of 5)

3. Obesity Therapy Planning - Motivation (out of 15)

7-C. Obesity Therapy Planning - Perfectionism Total (out of 20)

8. Obesity Therapy Planning - Uncontrolled Eating (Total (out of 15)

9. Obesity Therapy Planning - Emotional Eating (Total (out of 15)

10. Obesity Therapy Planning - Cognitive Restraint (Total (out of 15)

11. Obesity Therapy Planning - Stress (Total (out of 15)

12. Obesity Therapy Planning - Anxiety (Total (out of 15)

13. Obesity Therapy Planning - Depression (Total (out of 15)

14. Obesity Therapy Planning - Fatigue - Physical (Total (out of 15)

15. Obesity Therapy Planning - Fatigue - Psychological (Total (out of 15)

16. Obesity Therapy Planning - Dyspnea (Total (out of 15)