Questionnaire

This questionnaire can help you better understand your condition and empower you to have a more informed discussion with your doctor about weight management. The questionnaire is for personal use only and shouldn’t be considered a diagnostic tool.

1. What is your motivation for wanting to have a conversation with your doctor about obesity and sustained weight loss?
Select all that apply
This field is required
2. How long have you been aware of having a weight-related condition?
(this field is required)
3. How have you tried to manage your weight previously?
Select all that apply.
This field is required
4. Have you experienced weight loss followed by weight regain? If yes, what factors do you think contributed to the weight regain?
Select all that apply.
This field is required
5. Do you currently have any of the following health concerns?
Select all that apply.
This field is required
6. How does your weight affect your physical well-being?
Select all that apply.
This field is required
7. How does your weight affect your emotional well-being?
Select all that apply.
This field is required

Make the commitment today to have a weight management conversation with your doctor and set your individual goals.

Let’s Talk About Weight: A national report on lived experiences of obesity and weight management in Australia explored attitudes, behaviours and experiences of Australians living with overweight or obesity. Key findings can be found in the Let's Talk magazine.