Analysis When I gain weight I gain it all over my entire body * Yes No I have always been “athletic” but recently the pounds have begun to increase. * Yes No There was a time, after I graduated high school, when I could eat practically anything I wanted and never gain an ounce. * Yes No It seems like no matter how little I eat, I gain weight. * Yes No For as long as I can remember, All I had to do was “look for food” and I would gain weight. * Yes No If I am even an hour late for a regular meal, I get ravenously hungry. * Yes No If I lost all the fat I wanted, I would not be thin; I am “big boned” or “full framed”. * Yes No I have lots of energy and move relatively fast in all my activities. * Yes No Most of the time I can hide my weight in my clothes, but I would not wear a swimsuit without a cover-up. * Yes No I am rarely hungry at dinner time. * Yes No Obesity runs in my family. * Yes No I get hungry after I eat. * Yes No If all the fat on my body disappeared I would look great. * Yes No If I go more than two to three hours without eating I get irritable. * Yes No I have very low energy levels for much of the time. * Yes No There are parts of my body that are NOT overweight. * Yes No After exercise, I feel like I am “starving”. * Yes No I need to lose weight ALL over my body. * Yes No If I don’t eat on schedule, I simply can’t control what I eat at the next meal. * Yes No If I am very tense or anxious, eating sweets, bread or pasta calms me. * Yes No Email Address *

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