Yes
No
Maybe
1.
I am ready to do
whatever it takes to achieve a healthy body weight/composition and
lifestyle.
Yes
No
Maybe
2.
I am willing to stay
the course, no matter how long that it takes to reach my goal.
Yes
No
Maybe
3.
I am prepared to have
the courage to overcome my negative self talk and emotions to
achieve my goal.
Yes
No
Maybe
4.
I am prepared to
journal the negative self talk and realistically look at and take
responsibility for it.
Yes
No
Maybe
5.
I am prepared to
journal my food intake and exercise expenditure and realistically
look at and take responsibility for my actions or inactions.
Yes
No
Maybe
6.
I am willing to
temporarily stay away from friends or family members that speak
negatively about my efforts.
Yes
No
Maybe
7.
I am willing to ignore
criticism from others.
Yes
No
Maybe
8.
I am willing to honestly
confront others and myself with regards to my weight loss.
Yes
No
Maybe
9.
I know that if I don’t
do something about my weight NOW my health is going to
deteriorate.
Yes
No
Maybe
10.
I am willing to stop
lying to myself and making excuses for my being overweight and
take responsibility for it.
Yes
No
Maybe
11.
I am willing to look
realistically at my past behavior as it relates to my weight loss
efforts and accept responsibility for my failures.
Yes
No
Maybe
12.
I am willing to use
the methods outlined in the Tri-for-Life program exactly as
outlined.
Yes
No
Maybe
13.
I am willing to
dedicate 3-5 hours per week to focused exercise.
Yes
No
Maybe
14.
I am willing to make
meal and preparation requests when I go out to eat.
Yes
No
Maybe
15.
I am willing to NOT
make excuses as to why I can’t exercise when I should or eat the
correct way each day.
Yes
No
Maybe
16.
I am willing to spend
15-30 minutes each day thinking about and preparing for the next
day’s meal and exercise requirements.
Yes
No
Maybe
17.
I am willing to make
my health and my weight a top priority.
Yes
No
Maybe
18.
I am willing to change
as many aspects of my lifestyle that is necessary in order to
achieve success.
Yes
No
Maybe
19.
I am willing to take
at least 3 actions steps every day in my quest for better health
and weight loss.
Yes
No
Maybe
20.
I am willing to not
quit and revert back to my old ways.