Wanting to lose some weight? Quiz covers:
1. Goals you would like to achieve
2. Reasons why you might be struggling to lose weight
3. What you've tried in the past
4. Options that might suit you best
Register at the end of this quiz and we will email your summary to you.
Click the orange arrow below right to start quiz...
How did you find out about us?
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Referred by a friend
Google search
Facebook
Instagram
Signage
Previous member
Doctor Referral
Another way?
* Please select at least one response before proceeding
Age range
Age range
20s
30s
40s
50s
60s
70+
* Please respond to proceed
Tick any health concerns:
Tick any that are a concern for you.
Bloating or gut health
Blood sugar, diabetes or pre-diabetes
Feeling depressed, anxious or mood swings
Headaches, migraines or brain fog
Heart disease, stroke or high blood pressure
Muscle or joint pain
Physical activities are difficult
Any other concerns?
If you have any health condition always seek the advice of your doctor.
Your health goals
What are your health goals?
Being at my best weight
Getting quality sleep
Feeling happier & more confident
Having loads of energy
Feeling fit & healthy
Having no more aches & pains
Being free of food cravings
Any other health goals?
* Please select at least one of the above to proceed.
Do you have a goal weight in mind?
What is your current weight?
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What is your goal weight?
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* Please give an answer to proceed.
When were you last at your goal weight?
In the past 12 months
In the past 24 months
More than 24 months
When would you like to be at your goal weight?
Month and Year
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Is this for a special occasion?
Holiday
Birthday
Anniversary
Wedding
Another occasion?
* Please provide an answer to proceed
Which part of your body do you mainly store your weight?
Upper body - chest, arms, shoulders and upper back
Mid-section - tummy, waist
Lower body - hips, buttocks and thighs
Everywhere
What things stop you from being at your ideal weight?
What do you think are the main causes of your current weight? Tick any that apply.
My metabolism has changed
My eating & drinking habits
I've always struggled with my weight
Poor quality sleep
Injury, medical condition or medication
My lack of physical activity or motivation
Influence from friends, family or workmates
Any other reasons?
Have you tried any of these to lose weight?
Weight Watchers
Jenny Craig
Pre-made meal delivery eg Lite 'n Easy
Online or App-based program
Gym membership or exercise
Self dieting
Meal replacement shakes
Appetite suppressing drug
Bariatric surgery
Anything else you've tried?
How long did you continue with your efforts?
Not long
For a while
A long time
Did you see any improvement for the effort and time you spent?
None at all
Small improvement
Great improvement
Do you have any dietary restrictions or food allergies?
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Yes
No
* Please select one to proceed
Please tick any that apply
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Dairy
Gluten or wheat
Vegetarian or vegan
Shellfish
Nuts
Any other restriction/allergy?
The good news is that it's possible to follow an effective eating program that works around individual restrictions.
Now we've got some questions which will help us determine what sort of program is going to work for you.
Question 1 of 5
Do you believe that in order to lose weight you will have to find time for extra exercise?
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Yes
No
What the science says...
Exercise has a huge range of health benefits, but weight loss is not one of them.
To be successful at losing weight you do not have to add extra exercise.
If you're already exercising - great! Keep it up. If you're not exercising now, you can start later after you've lost some weight.
Correct!
What the science says...
Exercise has a huge range of health benefits, but weight loss is not one of them. To be successful at losing weight you do not have to add extra exercise. If you're not exercising now, you can start later after you've lost some weight.
Question 2 of 5
Do you believe losing weight is simply about calories?
Yes. All I have to do is count calories, eat less and exercise more.
No. My body's hormonal response to different foods influences my weight.
Counting calories, eating less and exercising more sounds sensible, but rarely works in real life.
It makes people hungry which requires a huge amount of willpower to stick with. This is why people say "Diets don't work."
Correct!
No two people respond to foods the same. One diet does NOT suit every body.
Your hormones affect whether you more easily store fat or burn fat as your primary sources of energy.
You need an eating pattern to create the best fat-burning hormonal response. You can lose weight without hunger, willpower or endless exercise.
Question 3 of 5
Which dietary program do you feel would best suit you and your lifestyle?
Basic: Just tell me what to eat. One eating plan for everyone regardless of age or personal preference, with no options.
Adapted for you: I'd rather find out what foods work best for my body, to give me choices.
Restrictive eating programs can work in theory.
In practice they don't as people get hungry, bored and give up.
It makes family meals and socialising much more difficult.
An eating program that's adapted to your body's responses will maximise your options and be the most sustainable for the long term.
This option is more family-friendly as well as enjoyable when socialising.
Question 4 of 5
Do you relate with the statement "I need some outside motivation, support and accountability. When I am feeling overwhelmed it can be too easy to give up."
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Yes
No
Question 5 of 5
Most people have difficulty finding the time to invest in making lifestyle changes. Which of the following would be absolutely DOABLE for you?
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15 minutes to check in with a coach weekly - Checkins can be in person or via Zoom or phone
15 minutes to check in with a coach weekly and 30 minutes exercise 2 times per week
15 minutes to check in with a coach weekly and 30 minutes exercise 4+ times per week
Great!
As long as you can meet with your coach for 15 minutes once a week, to guide you and hold you accountable, you're on your way.
If you find time for exercise later, that's a bonus.
Great!
As long as you can meet with your coach for 15 minutes once a week, to guide you and hold you accountable, you're on your way.
Doing two exercise sessions a week will keep you toned while losing weight.
You're really committed!
As long as you can meet with your coach for 15 minutes once a week, to guide you and hold you accountable, you're on your way.
Exercising most days of the week certainly has a huge range of health benefits and helps with weight maintenance.
We've helped over 11,000 women lose over 100,000 kilos so far with weekly, one-on-one coaching in-centre or via phone or Zoom
Quiz Summary & Invitation
Would you like us to email you your quiz summary and show you how the Healthy Inspirations program can give you the results you're after?
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