Behaviour Transformation Programme For Weight Management

Firm Ground® Total Transformation Programme Waiting List
Full Name

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Email Address
example@example.com
How happy do you feel in yourself?

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Do you currently exercise?
Why do you not exercise?
Do you enjoy it?
How would you describe your eating habits?

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Have you tried to lose weight, get fitter or change your lifestyle before?
What usually got in the way or caused you to stop?

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What has stopped you from trying to make these changes before?

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Do you drink alcohol?
On a typical day when you drink alcohol, approximately how many units do you drink?
Do you take drugs? (No judgement)
How often do you take drugs?
Do you smoke weed? (No judgement)
How often do you smoke weed?
Do you think this could affect your ability to stay committed to the programme?
Some tasks may ask you to refrain from drugs or alcohol. Do you think you could manage that?
What are your stress levels like?

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How ready do you feel to change the things that are currently making you unhappy?

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How many steps do you do daily?
Would you be prepared to start doing steps each day, starting with just 5,000?
Would you be happy to build up to 10,000 steps each day?
With your daily steps included, the programme requirements could take around 1.5 hours of your day in total. Is this something you can commit to?
Should be Empty: