This quiz, designed by Coach, Julia Stewart, will help determine whether now is the time for you to lose weight and, if so, what type of support you may need to be successful. Read and answer each of the questions below. They are based on research on what psychologists call the "Five Stages of Change"*. When you have completed the quiz, fill in your name, a valid email address, and click send. Your results will be emailed back to you.

	True	False
1.			My family, friends, or others think I need to lose weight.
2.			I've been thinking I might want to lose weight.
3.			I've been working on losing weight for the past few months.
4.			I've tried to lose weight, but haven't been successful.
5.			I'm overweight and I really think I should work on it.
6.			I'm concerned about regaining the weight that I already lost.
7.			I guess that I'm overweight, but there's nothing that I really need to change.
8.			I am really working hard to lose weight.
9.			I've talked to others about my weight problem.
10.			I may need a boost right now to maintain my weight loss.
11.			I'm going to try to lose weight this month.
12.			Anyone can talk about losing weight, I'm actually doing something about it.
13.			As far as I'm concerned, I don't have a weight problem.
14.			I'm thinking about losing weight sometime in the next six months.
15.			I'm here to prevent myself from regaining the weight I've lost.

*These questions were adapted from the American Council on Exercise (ACE) Lifestyle and Weight Management Consultant Manual and the Harvard Mental Health Newsletter.

Your Name:
Your Email Address: