Questionnaire - Page 5(f) of 9
(1014 maximum possible questions)		 Last updated: May 05, 2008

THE ANALYST TM
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This section pertains to weight problems.
To calculate your percentage loss or gain over the last year, divide the amount you lost by your previous or starting weight. For example: If you were 150lbs and lost (or gained) 20lbs; 20 divided by 150 = .13 or 13%.
543.  Has your weight been difficult to change?
It is very difficult for me to gain weight
I can gain weight, but it is a challenge
No / don't know
I can lose weight with difficulty
It is very difficult for me to lose weight
544.  Has your weight dropped significantly for intentional or known reasons in the past year that include lifestyle change or medical conditions of which you are aware?
Don't know / not applicable
No / minimal change
5 to 10% / moderate weight loss
11% to 20% / major weight loss
Over 20% / very great weight loss
545.  Has your weight dropped significantly for unknown reasons in the past year? The reason for the weight loss is not known.
Don't know / not applicable
No / minimal change
5 to 10% / moderate weight loss
11% to 20% / major weight loss
Over 20% / very great weight loss
546.  Has your weight increased significantly for intentional or known reasons in the past year that include any lifestyle change, such as diet change or greater calorie consumption, or a medical condition of which you are aware?
Don't know / not applicable
No / minimal change
5 to 10% / moderate weight gain
11% to 20% / major weight gain
Over 20% / very great weight gain
547.  Has your weight increased significantly for unknown reasons in the past year? Do not answer this question if weight gain is from consuming too many calories or getting too little exercise.
Don't know / not applicable
No / minimal change
5 to 10% / moderate weight gain
11% to 20% / major weight gain
Over 20% / very great weight gain
548.  If you are currently overweight with extra fat, is the weight carried around the middle of your body (apple shape) or lower (pear shape)?
Apple shape
Uncertain, but there is abdominal fat
Neither / does not apply / don't know
Pear shape
549.  If you are significantly overweight with extra body fat, for roughly how many years has this been the case?
I'm not overweight / don't know
Less than 3 years
4 to 10 years
11 to 20 years
More than 20 years
550.  If you are significantly underweight, for roughly how many years has this been the case?
I'm not underweight / don't know
Less than 3 years
4 to 10 years
11 to 20 years
More than 20 years
551.  Have you experienced a shift in weight distribution toward upper body obesity but thinner arms and legs?
Don't know
No
Increased upper body fat
Thinner arms and legs
Increased upper body fat and thinner arms and legs
552.  Do you have an accumulation of fat on the back of the neck and / or upper back?
Don't know
No
Back of neck
Upper back
Both back of neck and upper back

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GLOSSARY

Pound:  454 grams, or about half a kilogram.



 


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