Weight Concern
healthy eating
How healthy is your lifestyle?
This questionnaire has been designed to take you through various aspects of your health and lifestyle. From weight and eating habits to activity, smoking and stress. From your answers, we will be able to give you lots of feedback about your lifestyle and habits. The idea is not to make judgements, but to give you personalised feedback and then make suggestions of starting points for boosting your health.

The questionnaire should take approximately 15 minutes to complete. You will then receive your personalised report straight away, which you can print out and keep.

We hope that you enjoy filling this in!
Note: Any information you give us will be kept strictly confidential and will not be used by
Weight Concern, or any other third parties. This questionnaire is designed for adults.
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