Weight Concern
healthy eating
About you...
Please enter your name  (optional - 14 characters)
What is your age?  years
Are you male or female?
Please enter your weight  stones  pounds   or  kg
Please enter your height  feet  inches  or  metres  cm
Please enter your waist measurement
(This is not your trouser size - take the mid-point between the bottom of your rib cage and your hip bone)  inches or  cm
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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