This free survey is powered by QUESTIONPRO.COM
0%
 
 
Hello:

Congratulations on opening Section V: My Acceptance Summary in the Personal Factor Inventory. In this section there are 14 questions. It will take approximately 4 minutes to complete the questionnaire.

Your participation in the Personal Factor Inventory is completely voluntary. There are no foreseeable risks associated with answering the questions. However, if you feel uncomfortable answering any questions, you can stop answering the questions at any point.

Your survey responses will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the Personal Factor Inventory or the procedures, you may contact Vicki Tambellini by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
My Acceptance Summary – What I Know
 
 
 
501. I accept myself for who I am.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
502. I know that obesity is a life-long, chronic disease that has no cure, but can be treated and improved.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
503. I can visualize what I will feel like and look like when I reach my goal.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
504. I can accept that I have to do things others don’t have to do to maintain a healthy weight.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
505. I know that my body is always changing due to age, health and things that may be beyond my control.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
506. I can admit it when things aren’t going well, accept it, and move forward by using new information or a new approach.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
507. I believe that I am worthy of the time and effort it takes to maintain a healthy body.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
508. I believe that once I know what will work for me, I will be able to lose excess weight and maintain weight loss.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
509. I am ready to incorporate new information and skills into my life.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
510. The information that I need to manage my weight and wellness is available if I access and apply it.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
511. I am ready and willing to change my exercise routine.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
512. I accept that I can develop my own “normal” even if it means I do some things differently than others.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
513. I believe that I have the right to ask for what I need, and that others may not know what I need unless I tell them.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
514. I understand the challenges that weight loss might present, such as:
 
Needing new clothes
 
People not recognizing me
 
Adapting to new and different kinds of attention
 
Other
 

 
Please contact [email protected] if you have any questions regarding the Personal Factor Inventory.
Survey Software Powered by QuestionPro Survey Software