Questionnaire
Check the statements that are true for you. Pick only one checkbox per row.
| Do you want your appetite to change quickly? | Do you want to be gentle with yourself? | Do you want to work at your own pace? | |||
| Do you want maximum support? | Do you want a moderate level of support? | Do you want to do this on your own? | |||
| Are you willing to give yourself 5 hours a week? | Are you willing to give yourself 2.5 hours/week? | Are you willing to give yourself 20 minutes/day? | |||
| Are you willing to pay more to get faster results and to have frequent contact with Anne? | Would you rather pay less and get more gradual results? | Would you rather pay a lot less and have less contact with Anne? | |||
| Do you want a group that always has the same people in it? | Do you already have trusted, consistent support that you will turn to? | Are you willing to be in a drop-in support group? | |||
| Would you prefer to have all the forms and tools provided for you? | Are you willing to get your own forms and tools? | ||||
| Do you want a program with a money-back guarantee? | |||||
| Do you want your own support group to continue to be available to you after you've completed your program? | |||||
Total |
Total |
Total |
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If
most of your checks are in this column, go to: |
If most of your checks are in this column, go to: |
If most of your checks are in this column, go to: Automated MYA Program |