Weight Loss Quiz

Begin your free weight loss assessment now — it's quick and easy!

Losing weight is hard! And there's a surprising reason why – many women have physiological imbalances in their bodies that prevent weight loss, no matter how hard they try. At Women's Health Network we call this weight loss resistance, and simply put, you must heal those physiological imbalances if you want to lose weight.

This profile will assess your body's resistance to weight loss, and create a personalized plan to help you achieve your weight loss goals.

First, tell us about your weight loss goal.

1. Do you have a weight loss goal in mind?*

2. How quickly do you want to reach your goal?*

3. Who will be supporting your weight loss efforts? (select all that apply)

4. What's your BMI (or body mass index)?

What is your BMI?*

If you do not know your BMI, we will calculate it for you based on your height and weight.

What is your total height in INCHES?*
What is your total weight in POUNDS?*

5. What is the relationship between your hips and your waist?*

Next, tell us about your experience with weight loss.

Answer ‘yes' or ‘no' to each of these questions.

1 I am on a diet and cannot lose weight.   Yes No
2 I lose weight, only to gain it back.   Yes No
3 My body fat is moving to my middle.   Yes No
4 Many people in my family are overweight.   Yes No
5 I eat when I am stressed, sad, and/or anxious.   Yes No

What about exercise and physical fitness?

Check which best describes you during the past 30 days.

Do you look forward to exercising?

If you do exercise, do you feel good afterwards?

OK, let's uncover the reasons behind your body's resistance to losing weight.

Rate the symptoms that you have experienced in the last 3 months on a scale from 1 to 5. If you did not experience the symptom, please rate it as 1. Here's how to rate your symptoms:

  • 1 = I do not experience this symptom with any regularity.
  • 2 = the symptom is a minor problem — I notice the symptom but can manage most of the time.
  • 3 = the symptom is a moderate issue for me — I can manage it some of the time but I sometimes struggle.
  • 4 = the symptom is a real problem, but I try to push myself through it.
  • 5 = the symptom is severe — I can barely function.
1 Heavy or irregular periods
2 Intense mood swings and food cravings before periods
3 Hot flashes, night sweats, and/or palpitations
4 Vaginal dryness and low libido
5 Exhaustion and fatigue
6 Insomnia, difficulty falling asleep, or difficulty staying asleep
7 Anxiety
8 Constant stress
9 Unusual weight gain or difficulty losing weight
10 Hair loss, dry skin and brittle nails
11 Difficulty tolerating cold temperatures or low body temperature
12 Puffiness in face and extremities

You're nearly done! Lastly, tell us how you'd like to feel after completing a weight loss program:

Please check all that apply.

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