What are your chances of being successful at weight loss?

What is your Power Mould change?


Percentage (of desire)               Mental
   Occupation                                Outlook
      Weights                                        Understanding
          Eating                                               Limitations
            Rest / Relaxation                                   DNA








  1. What is your weight loss goal?
  2. What is your desire to reach this goal from 1 – 10? *1 = very little   5 = somewhat    10 =  the most
  3. What is your full-time occupation?
  4. How much do you enjoy your occupation? (from 1 – 10)
  5. How many times per week are you willing to lifting weights?
  6. What do you do to rest, relax and recover?
  7. 2 things that make you want to exercise?
  8. How often have you reached goals in the past? (any goals in the past)
  9. Describe your mental outlook on life? (worrisome, happy-go-lucky, appreciative, etc)
  10. What is your basic understanding of diet, exercise, cardio, and weights?
  11. What injuries, illnesses, or set backs have you had within the last 5 – 7 years?
  12. What members of your family have ever had back pain, joint pain, heart condition, stroke, high blood pressure, or other heredity condition.
  13. Do you have accessibility to a gym everyday?
  14. What medications or supplements are you taking or have taken within the last year?
  15. In your opinion, name 3 good genetics that work in your favor for weight loss?
  16. In your opinion, name 3 bad genetics that work against your favor for weight loss? 
  17. How long do you think it will take to reach your goal?
  18. Are you willing to write what you eat everyday?
  19. How willing are you to continue, regardless of setbacks?
  20. Are you willing to training completely different and difficult in order to get your desired results? (from 1-10)

"The definition of insanity is doing the same thing and expecting different results."




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