Diagnose-Me - Page 1(f) - Female Questionnaire

FEMALE QUESTIONNAIRE - PAGE 1(f)

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This section deals with weight-loss diets started within the past 5 years.

110.

Whether successful or not, approximately how often have you started weight-loss diets?

	Never / don't know
	Once or twice, but not in the past year
	More than twice, but not in the past year
	Once or twice in the past year
	More than twice in the past year

111.

Have you been on a high-fat / low-carbohydrate diet, such as the "Atkins Diet"?

	Don't know
	No
	Yes, but not any more
	Currently, for less than 2 months
	Currently, for more than 2 months

112.

Are you currently on any other specific (named) weight-loss diet plan?

	No / nothing specific / don't know
	Weight Watchers
	The Zone Diet
	High-carbohydrate diet, such as the Ornish Diet
	Other (please make a note below)

Add any additional information here for the questions above:

Please mention the question number(s) if possible.