Get Started | Serenity Weight Loss

First name

Last name

What is your weight loss goal?

Why is this your goal?

How will you feel once you achieve this goal? Use 5-10 feelings.

What do you think is your biggest obstacle in achieving this goal?

What are some other weak spots you know about yourself when it comes to food?

What are your binge foods? When you buy them or see them around you, you have a hard time stopping?

Would you say at times you eat emotionally? If so, how are you typically feeling?

What are some of your favorite healthy snacks? What are some of your favorite vegetables?

How many times a week do you typically eat out?

Are you currently exercising? If so, what are you doing and how often?

What is the main reason you skip exercising?

Aside from all of this, what do you love to do in your free time. What do you look forward to? How does this make you feel?

All About You - Clarifying Questions