Healthy Living Dallas - Dietary Change Readiness Questionnaire

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Dietary Change Readiness Questionnaire

Although many people want to lose weight there can be a great many obstacles to achieving and maintaining that goal. This questionnaire is intended to help you and your physician assess how ready you are to make the needed changes that will allow you success, to help identify what barriers may lie in the way and to help your practitioner identify strategies to overcome those barriers.

For each question, select the answer that best describes how you feel.