2. Do you ever use the following sentences (out loud or internally) when describing your patterns of eating:
- “I’ve been bad.”
- “I’ve been good.”
- “I have no willPower.”
3. Do you own a scale? If so, how frequently do you weigh yourself?
4. What are your pain points when it comes to exercise & nutrition?
5. How would you describe success in fitness?
(Circle all that apply)
- a number on the scale
- fitting into a certain size or a piece of clothing
- the look of a certain body part (If so, which one(s)?)
- good energy levels
- no creaking of joints or huffing / puffing
- improvement in medical diagnostics (e.g. blood pressure, cholesterol)
- confidence…in a suit, a swimsuit, public speaking, special occasion, in bed…(circle all that apply)
- improvement in a physical feat (e.g. number of push-ups, minutes in plank, running a marathon, progress in cardiovascular, strength, or flexibility)
- (Got something else? By all means, write it in here!)
6. How many times have you started a new diet? Was it in conjunction with an exercise plan or independent?
7. Do you feel you have a healthy relationship with eating?
- If so, have you always?
- If not, when did it start?
8. Think about the women in your life — past & present. (e.g. your mother, your daughter(s), female mentors or role models) — how have they influenced your relationships with exercise and food?
9. How many times does a negative thought about your body (e.g. “I’m too fat”) typically occur on a given day? Are there some days worse than others and, if so, why? What triggers these thoughts?
10. Do you eat or exercise differently knowing you have a special event involving food (e.g. Thanksgiving, Holiday party) that day? If so, how?