Attitudes Toward Weight Survey: Anonymous

2. Have you ever been on a diet? (choose more than one answer if applicable)

Have you ever been on a diet? (choose more than one answer if applicable) No, never felt the need to

Yes, once

Yes, several

Yes, a life of dieting

3. Do you eat healthy? (choose all that apply)

Do you eat healthy? (choose all that apply) I eat only whole foods

I eat mostly healthy

I binge

I eat according to my mood

I eat only for fuel

Most of my social activities revolve around food and I partake in the food aspect usually

Most of my social activities revolve around food but I do not partake in the food aspect usually

I cook from scratch or eat home made food all the time

I consider opening a can or packet to mix with other foods "home cooking"

I don't have time to eat healthy

I do not have the money/budget to eat healthy

I am on food stamps or welfare

I skip meals

I have a lot of will power with food, I need it!

I do not think twice about will power with food, it's not emotional to me.

I do not have much will power with food, it's a battle

I feel bad when I over eat

I feel bad when I make poor choices

My children (if I have) eat similar diets to me

I gained weight at a certain time of my life

I have obstacles that keep me from healthy eating

4. Activity: Choose all that apply

Activity: Choose all that apply I am inactive (due to health or otherwise)

I am a couch potato by choice (depression, feeling tired)

I do not work out but I am "on the go"

"on the go" means to me that I am busy with going places in my life, or cleaning my house.

I incorporate physical activity in my life that is not a set work out but an active lifestyle (prefer to get a far parking space, take leisure walks, play Wii or other more active inspired games) MORE than 3x a week.

I go to a gym or work out more than 3 hours a week

I go to a gym or work out five days a week minimum

If I did not work out, I'd gain weight

I dread working out but do it because it is good for me

No pain no gain is my motto

A little sweat is good for you and feels good

If I "cheat" a little with food, I just work out more

If I work out well, I know I can add extra food

I am cursed with a poor metabolism no matter what I do

I have been active (physically, that is 3x a week or more) for a year or less

I have been active (physically, that is 3x a week or more) for at least two years.

I have always lived a physically active life

My parents were physically active

My friends are mostly physically active

I belong to a support group for my weight issues (an addiction group, weight watchers, etc)

I belong to a gym for my weight issues (not just to work out but to address weight)

I count calories, grams of fat, carbs or more, or have done so, to keep my weight in check.

I factor my activity level with my calories, grams of fat or carbs to keep my weight in check

Working out is fun

Working out is a pain

I have a hard time finding time to have an active lifestyle

I don't have the money to have an active lifestyle

I don't like the feeling of an active lifestyle

I'd like to have a more active lifestyle but I don't know where to begin

5. Attitude (more) Only choose what applies - this is for ALL not just people who are overweight.

Attitude (more) Only choose what applies - this is for ALL not just people who are overweight. If I lost weight I'd feel better

If I lost weight I'd look better

If I lost weight I'd be wealthier perhaps

If I lost weight I think I'd have a better love life

If I lost weight I know I'd be happier

If I lost weight I'd wear different clothes

I have done something drastic to lose weight (radical diets, operations)

I have done something drastic that did not work

I have done something drastic that did work and has sustained

I did something drastic that did work but only for a short time

I think heavy people just eat too much and are not active

I think heavy people lie about what they eat

I think thin people are naturally blessed

I eat less than some thin people and I'm heavier

My parents made me feel badly about my (over)weight

My parents made me feel good about who I am regardless of my body shape

My parents were thin and fairly healthy

I avoid some situations because of my weight (swimming pools, etc)

I have a problem with overspending (run up credit cards, etc) and I am thin

I have a problem with overspending (run up credit cards, etc) and I am heavy

I am heavy and have a very good nest egg and do not like to shop

I am thin and have a very good nest egg and do not like to shop

I am heavy and go on binges with eating as well as spending

I am thin and go on binges with eating as well as spending

I enjoy to treat myself when I feel down with food or "things"

When I shop at a mall, I always hit the food court or some food seller and I am thin.

When I shop at a mall, I always hit the food court or some food seller and I am heavy.

I think thin is sexy and I am heavy

I think heavy is sexy and I am thin

I am thin and I think thin is sexy

I am heavy and I think heavy is sexy

(I am a man and)Men love heavy women

(I am a man and)Men love thin women

(I am a man and) men find any size very attractive

(I am a woman and)Women love thin men

(I am a woman and) Women love heavy men

(I am a woman and) women find any size male very attractive.

6. Without giving your name, please outline your struggle with weight or a friends struggle with weight. Please include as many emotions, etc., that you've encountered. (joy, shame, anger, frustration, humiliation). This is anonymous.

Without giving your name, please outline your struggle with weight or a friends struggle with weight. Please include as many emotions, etc., that you've encountered. (joy, shame, anger, frustration, humiliation). This is anonymous.

7. Your age range...

Your age range... Teen

Twenties

Thirties

Forties

Fifties

Sixties

Seventies

Eighties +

8. Gender, Age and Weight Ranges. Note "Thin and healthy" means no medication needed on a daily basis, no watching weight, and an active lifestyle with a physique that reflects it. You do not "work at" being thin or healthy it is your lifestyle. "Average to Chunky" is medication, some excess fat but not too bad. Heavy or Obese is overweight with other struggles that may come with it.

Gender, Age and Weight Ranges. Note "Thin and healthy" means no medication needed on a daily basis, no watching weight, and an active lifestyle with a physique that reflects it. You do not "work at" being thin or healthy it is your lifestyle. "Average to Chunky" is medication, some excess fat but not too bad. Heavy or Obese is overweight with other struggles that may come with it. Underweight male

Underweight female

Male, teens/twenties, thin and healthy

Male, teens/twenties, average chunky

Male, teens/ twenties, heavy or obese

Male, Thirties to Fifties, Thin and healthy

Male, Thirties to Fifties, average to chunky

Male, Thirties to Fifties, heavy or obese

Female, teens/twenties thin and healthy

Female, Teens/twenties, average, chunky

Female, Teens/twenties, heavy obese

Female, Thirty to fifties, thin and healthy

Female, thirty to fifties, average, chunky

Female, thirty to fifties, heavy, obese

Male or female 60+ thin

Male or female 60+ average

Male or female 60+ obese

9. Check all that apply

Check all that apply I have a thyroid issue

I have hormonal issues

I get my blood work checked to diagnostically check my hormone levels (not basic bloodwork)

I have cholesterol issues

I am spiritual and thin

I am spiritual and heavy

I am not spiritual and thin

I am not spiritual and heavy

I struggle with spirituality and am thin

I struggle with spirituality and am heavy

I have taken a BMI test in the past year

I have never taken a BMI test, I have no idea what my body mass index is.

being heavy runs in my family

having high cholesterol runs in my family

I have joint pain

I have immune disorder issues such as lupus

I have fibromyalgia

I have fibromyalgia and am overweight

I have fibromyalgia and am thin

I have cholesterol issues and fibromyalgia and am thin

I have cholesterol issues and fibromyalgia and am heavy

I have fibromyalgia and work out and also stretch daily

I partake in meditation at least once a week

I have cholesterol issues and partake in meditation

I have fibromyalgia and partake in meditation

I drink enough water every day

I do not drink enough water every day

I eat fruit every day

I eat vegetables every day

I make sure to unwind WITHOUT alcohol or drugs at least once a week

I am generally happy

I feel bipolar or moody

I feel depressed but fake a smile often

I feel depressed and it shows

I am happy and chunky to heavy

I am happy and thin

I am depressed or moody and am chunky or heavy

I am depressed or moody and am thin

I have a strong spiritual base (religion, God, etc)

I do not believe in a spiritual base

I enjoy the people in my life

I put up with the people in my life for the most part

I love my work

I put up with my work

I would like to change my life drastically but can't (money, obligations, etc)

I am very happy with my life

I'm satisfied with my life and am making slow changes for personal growth and happiness

10. Open ended. Add anything you like. PLEASE do not give ANY identifying information. Just write anything that comes to mind.... Thank you.

Open ended. Add anything you like. PLEASE do not give ANY identifying information. Just write anything that comes to mind.... Thank you.

Attitudes Toward Weight Survey: Anonymous
Exit this survey

1. Default Section

1. About you...choose all that apply

2. Have you ever been on a diet? (choose more than one answer if applicable)

3. Do you eat healthy? (choose all that apply)

4. Activity: Choose all that apply

5. Attitude (more) Only choose what applies - this is for ALL not just people who are overweight.

6. Without giving your name, please outline your struggle with weight or a friends struggle with weight. Please include as many emotions, etc., that you've encountered. (joy, shame, anger, frustration, humiliation). This is anonymous.

7. Your age range...

9. Check all that apply

10. Open ended. Add anything you like. PLEASE do not give ANY identifying information. Just write anything that comes to mind.... Thank you.

Attitudes Toward Weight Survey: AnonymousExit this survey

1. Default Section

1. About you...choose all that apply

2. Have you ever been on a diet? (choose more than one answer if applicable)

3. Do you eat healthy? (choose all that apply)

4. Activity: Choose all that apply

5. Attitude (more) Only choose what applies - this is for ALL not just people who are overweight.

6. Without giving your name, please outline your struggle with weight or a friends struggle with weight. Please include as many emotions, etc., that you've encountered. (joy, shame, anger, frustration, humiliation). This is anonymous.

7. Your age range...

9. Check all that apply

10. Open ended. Add anything you like. PLEASE do not give ANY identifying information. Just write anything that comes to mind.... Thank you.

Attitudes Toward Weight Survey: Anonymous
Exit this survey