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Enter the following information for your free weight loss assessment. you would like to achieve through a weight loss program.

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Please indicate the ext entto which you believe each of the following behaviors causes you to gain weight.Complete the form below and a health care professional from Glenwood Regional Medical Center will be in contact with you about your results.

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If weight loss is one of your goals, please complete the following questions. Health Questionnaire - Nutrition Assessment - Page 10 Cravings Inventory.

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Complete a health questionnaire. our expert staff will guide you in a plan that helps you achieve your weight-loss.

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Assessment of weight and health risk involves using three key measures:.


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