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"Portion Distortion"

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Are You Ready For Change?

Have you wanted to make a change, any change? Well what’s stopping you? Ok…before your start listing all of your specific reasons, let’s first find out just how ready you really are to even consider making a change.

Below is the thought provoking self assessment "inventory"; “Am I Ready For Change?”

Determining your readiness to change is the first step in developing health promoting behaviors. Complete the "inventory" below and click “Submit” to receive an invitation for a complimentary individualized assessment, bases on your specific responses.

 
Am I Ready For Change?

Your Name

Your Email

Date

Thank you for completing the “Am I Ready For Change” inventory. Your responses will help determine your current stage of readiness for change.

Guide to answering…

1-Check a response to each question by answering Yes or No.

2-Select ONE response letter A or B or C to complete the inventory.

1. Do you eat 5 servings of fruits and vegetables every day?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

2. Are you satisfied with your weight?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

3. Do you take time regularly to recharge your batteries and have fun?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

4. Are you satisfied with your overall health and well-being?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

5. Do you feel you exercise enough?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

6. Does your quality and quantity of sleep allow you to awake feeling rested?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

7. Do you feel you’ve connected with your sense of purpose?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

8. Do you think you handle the daily stressors in life well?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

9. Is your energy high from morning to night?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.

10. Do you smoke?

 Yes  No

 A - Not thinking about changing this during the next six months.

 B - Thinking I might make a change in the next six months.

 C - Plan to make a change in the next month.


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