GymHippie | Are you Ready to Change? Questionnaire

STAGES OF CHANGE 🧠

Each of the statements below describes how someone might be feeling about their health & fitness. Please indicate the extent to which you agree or disagree. Make sure your choice reflects how you feel right now - and not what you’ve previously felt, or what you’d like to feel in the future.

1 - Strongly Disagree
2 - Disagree
3 - Undecided
4 - Agree
5 - Strongly Agree

Note that "health & fitness" is a catch-all phrase referring to all the benefits of a fat-loss journey. For example: improved appearance, improved physical health, improved mental health, increased self-mastery & empowerment, increased confidence - or any other type positive change.

➡️ As far as I am concerned, I do not have any health & fitness goals that I want to achieve*

➡️ I might be ready for some self-improvements in my health & fitness*

➡️ I am doing something about my health & fitness which have been bothering me*

➡️ It might be worthwhile for me to work on my health & fitness*

➡️ I am not the problem one. It doesn’t make much sense for me to be here.*

➡️ It worries me that I might slip back on health & fitness problems I have already changed, so I am ready to work on my problem*

➡️ I am finally doing some work on my health & fitness*

➡️ I have been thinking that I might want to change my health & fitness*

➡️ I have been successful in working on my health & fitness, but I am not sure I can keep up the effort on my own*

➡️ At times my health & fitness is a difficult problem, but I am working on it*

➡️ Working on my health & fitness is pretty much a waste of time for me - because it does not have anything to do with me*

➡️ I am working on my health & fitness in order to better understand myself*

➡️ I guess I have health & fitness difficulties, but there is nothing that I really need to change*

➡️ I am really working hard to change my health & fitness*

➡️ I have a health & fitness problem - and I really think I should work on it*

➡️ I am not following through with the changes I have already made as well as I had hoped, and I am working to prevent a relapse in my health & fitness*

➡️ Even though I am not always successful in changing, I am at least working on my health & fitness*

➡️ I thought once I had resolved my health & fitness problem, I would be free of it - but sometimes I still find myself struggling with it*

➡️ I wish I had more ideas on how to solve my health & fitness problem*

➡️ I have started working on my health & fitness but I would like some help*

➡️ Maybe someone will be able to help me with my health & fitness*

➡️ I may need a boost right now to help me maintain the changes I have already made with my health and fitness*

➡️ I may be a part of my health & fitness problem, but I do not really think I am*

➡️ I hope that someone will have some good advice for me about health & fitness*

➡️ Anyone can talk about changing their health & fitness; I am actually doing something about it*

➡️ All this talk about psychology is boring. Why can’t people just forget about their health & fitness*

➡️ I am working to prevent myself from having a relapse of my health & fitness problem*

➡️ It is frustrating, but I feel I might be having a recurrence of the health & fitness issues I thought I had resolved*

➡️ I have worries about my health & fitness, but so does the next person. Why spend time thinking about it?*

➡️ I am actively working on my health & fitness problem*

➡️ I would rather cope with my health & fitness problem than try to change anything*

➡️ After all I have done to try to change my health & fitness, every now and then it comes back to haunt me*

➡️ Email*

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➡️ Name

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