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Please note that you do not need to print this test - you can take it online now - and view your results immediately! Please read each statement below and check the answer that best matches your level of agreement with the statement. Take care to record how you act or feel now -- not how you may have acted or felt in the past.

My name is:   Email address:
Type last name & first initial w/no spaces. (e.g. "SmithJ")

Read each statement and check the answer at right YES NO UNSURE

1.I have no problem throwing out clothing and other items that will no longer fit, due to my weight loss.

2. I am ready to change my eating habits, even if doing so upsets my friends' or family members' feelings, or causes tension.

3. I am prepared to walk away (at least temporarily) from friends and others who do not support my weight loss program, and who may sabatage my efforts.

4. I am sick and tired of being overweight and realize that I have no place to go, but "up". To do so I am prepared to follow Dr. Terlinsky's Nu-Living program and principles.

5. I am ready to take a frank and objective "look in the mirrow" and answer honestly to both my self and my loved ones, regarding my life and problems.

6. I am ready to read and listen to the medical advice given by Dr. Terlinsky's Nu-Living and honestly apply it to my behavior and my lifestyle.

7. I realize that I have failed trying to control my weight in the past by using diets and/or other methods, but now I am willing to the concepts and strategies of Dr. Terlinsky's Nu-Living Weight Management.

8.I am willing to change my employment, if necessary, to better manage and weight and health.

9.I am ready to confront anyone that sabotages my weight control efforts - whether others or myself.

10. I am ready to make health and weight managment a top priority in my daily routine.

11. I am willing to throw out all the junk/problem foods in my home and henceforth eat according to the concepts and strategies of Dr. Terlinsky's Nu-Living.

12. I am ready to exercise a total of 3 to 4 hours every week, with moderate effort.

13. I am ready to spend at least 15 minutes every day in a concentrated effort to learn and follow the concepts and strategies of Dr. Terlinsky's Nu-Living.

14. I am willing to accept the fact that nobody can do this for me - but myself.

15. I am ready to start giving myself credit and self-affirmations several times every day to counter habits of negative thinking.

16. I am ready to drop all pretense and get honest with myself and others about my shortcomings that failures, so that I can overcome them.

17. I admit that I have some problems, but I am ready to apply the concepts and strategies of Dr. Terlinsky's Nu-Living in spite of them.

18. I am ready to take responsibility for my life, and making permanent changes.

19. I am ready to apply the concepts and strategies of Dr. Terlinsky's Nu-Living in my daily life, and continue doing so even if it seems "too hard" or I feel "too weak".

20. I am ready to stand in front of a mirror and say out loud: "I will change my lifestyle for better health."