Readiness for Change
One of the most important things you can do to improve your lifestyle is to understand your readiness for change. There's a difference between wanting to be in great shape and putting in the work to accomplish it. Complete this questionnaire to find out if you're ready.
Name
First Name
Last Name
Email
*
example@example.com
1. Do you look in the mirror and get frustrated, upset, or humiliated because of how your body looks?
Yes
No
I'm not sure
2. When you feel run down and tired, do you blame these feelings on "getting older" or do you blame them on your lifestyle habits?
I blame it on getting older
I blame it on my lifestyle choices
I blame it on something else altogether
3. Are you taking any medications for heart disease, high blood pressure, or type II diabetes that you didn't have when you were younger?
Yes, I'm on a number of these medications
Yes, I'm on only one of these medications
No, I'm not on any of these medications
4. How do you explain the fact that you're in worse shape than when you were younger but haven't changed your habits at all?
I think it's my family history
I think it's that I'm less active
I think it's natural consequences of aging
I don't know why it's happening
5. If you don't have anyone to exercise with regularly, are you willing to look for a physical activity partner?
Yes
No
6. Are you willing to join a gym today?
Yes
No
7. If someone told you that you'd need to throw all the foods in your cupboards today and go shopping for different foods, foods more appropriate to your goal, would you do it?
Yes
No
8. If an expert presents some information on diet and exercise that contradicts what you currently believe, what approach would you take?
Keep an open mind and give it a try
Ask a friend
Ignore the advice
9. Are you willing to have a meeting with your friends and loved ones and share with them your behavior goals and desired outcomes?
Yes, right away
Yes, but not just yet
No
10. If your work environment presents significant barriers to you exercising and eating well, would you consider speaking to your employer about changing some of these conditions or are you willing to find new employment?
Yes
No
11. Are you ready to spend less time with people who offer little or no social support for your goals while spending more time with those who do offer support?
Yes
No
12. Can you accept responsibility for the way your body is today and understand that while your old habits don't make you a bad person, they still need to be changed?
Yes
No
13. If a friend or loved one suggests that you don't have what it takes to get into great shape because you've failed before or for some other reason, what will be your response?
I can do it
I know I've got to make some changes but I'll take it one day at a time
Maybe I can't do it
14. Are you willing to wake up in the morning a bit earlier and stay up at night a bit later to accomplish your goal?
Yes
No
15. Are you willing to do at least 5 hours of physical activity each week?
Yes
No
Your score
Click SUBMIT to find out what your score means.
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