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* Age
   
 
 

Sex
 
 
 
* Highest Weight
   
 
 
 
* Total Weight Lost
   
 
 
 
* 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 losing weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I feel better since losing weight.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
I am more attractive since losing weight.
 
 

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

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

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

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

Strongly Agree Agree Neutral Disagree Strongly Disagree
Appearance was the main motivating factor in my weightloss.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
People treat me differently since I've 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've 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 be less attractive.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Internal beauty is more important than outer beauty.
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Outer beauty is more important than internal beauty.
 
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