READINESS FOR CHANGE QUESTIONNAIRE

One of the most important things you can do to develop new daily practices is to understand your readiness for change. In addition, as your coach, it's useful for me to understand how willing you are to adopt some new practices, as slowly or as quickly as feels right for you. 

Simply answer the questions below by selecting the response most appropriate to your situation. 

Name *
Name
Date *
Date
1. Do you look in the mirror and feel frustrated or upset because of how your body looks?
3. If your fitness has deteriorated over the years, how would you explain it?
4. If you don't have anyone to exercise with regularly, are you willing to look for a physical activity partner?
5. Are you willing to join a gym today?
Don't worry. This isn't a commitment to join Infinitely Fit...unless you want to...
6. If someone told you that you'd need to throw away the foods in your cupboards today and go shopping for different foods that are more appropriate to your goal, would you do it?
7. If an expert presents some information on diet and exercise that contradicts what you currently believe, what approach will you take?
8. Are you willing to have a meeting with your friends and loved ones and share your behavior goals and desired outcomes with them?
9. If your work environment presents significant barriers to you exercising and eating well, would you consider speaking to your employer about changing some of these conditions or are you willing to find new employment?
10. Are you ready to spend less time with people who offer little or no social support for your goals while spending more time with those who do offer support?
11. Do you accept responsibility for your lifestyle habits and understand that to reach your goal, some of them may need to be changed?
12. If a friend or loved one suggests that you don't have what it takes to get into great shape because you've failed before or for some other reason, what will be your response?
13. Are you willing to slowly work up to five hours of physical activity each week?
14. Are you willing to make sacrifices to accomplish your goals?
Financial, time, unfamiliar situations