How do you consider your weight?
Your weight: ______Your height: ______
1. Underweight
2. Normal
3. Slightly Overweight
4. Moderately Overweight
5. Severely Overweight
The Dieting Readiness Test for Weight Loss: (Circle an answer)
Are you ready to start a Weight Loss Program? Yes No
Are you ready for dietary changes? Yes No
Compared to previous attempts, how motivated to lose weight are you this time? Circle one:
1. Not at all motivated 2. Slightly motivated 3. Quite motivated 4. Extremely motivated
How certain are you that you will stay committed to a weight loss program?
1. Not at all certain 2. Somewhat certain 3. Quite certain 4. Extremely certain Consider all outside factors at this time in your life (the stress you're feeling at work, your family obligations, etc:) Can you stick to a diet?
1. Cannot tolerate 2. Uncertain 3. Can tolerate somewhat 4. Can tolerate with will-power
Think honestly about how much weight you want to lose and how quickly you hope to lose it. Figuring a weight loss of 1 to 2 pounds per week, how realistic is your expectation?
1. Very unrealistic 2. Moderately unrealistic
3. Somewhat unrealistic
4. Somewhat realistic
5. Very realistic
While dieting, do you fantasize about eating a lot of your favourite foods?
1. Always
2. Frequently
3. Occasionally
4. Rarely
5. Never
While dieting, how often do you feel deprived, angry and/or upset? 1. Always 2. Frequently
3. Occasionally
4. Rarely
5. Never
Add up the numbers for each of your answers to find your total score.
TOTAL SCORE ______
If you scored:
6 to 16: This may not be a good time for you to start a weight loss program. Inadequate motivation and commitment, together with unrealistic goals, could block your progress. Think about the factors that contribute to this, and consider changing them before undertaking a diet program.
17 to 23: You may be close to being ready to begin a program, but should think about ways to boost your initiative before you begin.
24 to 30: The path is clear with respect to goals and attitudes.
Ref.: Weighing The Options by Paul R. Thomas, editor, p.199-200
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