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 MALE QUESTIONNAIRE - PAGE 5(f) 

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This section pertains to weight problems.
To calculate your percentage loss or gain over the last year, divide the amount lost/gained by your previous weight. For example: If you were 150lbs and lost (or gained) 20lbs, 20 divided by 150 = .13 or 13%.
540.  Has your weight been difficult to change?
It is very difficult for me to gain weight
I can gain weight, but it is a challenge
No / don't know
I can lose weight with difficulty
It is very difficult for me to lose weight
541.  Has your weight decreased significantly for intentional or known reasons in the past year that include lifestyle change or medical conditions of which you are aware?
Don't know / not applicable
No / minimal change
5% to 10% / moderate weight loss
11% to 20% / major weight loss
Over 20% / very great weight loss
542.  Has your weight decreased significantly for unknown reasons in the past year?
Don't know / not applicable
No / minimal change
5% to 10% / moderate weight loss
11% to 20% / major weight loss
Over 20% / very great weight loss
543.  Has your weight increased significantly for intentional or known reasons in the past year that include any lifestyle change, such as diet change or greater calorie consumption, or a medical condition of which you are aware?
Don't know / not applicable
No / minimal change
5% to 10% / moderate weight gain
11% to 20% / major weight gain
Over 20% / very great weight gain
544.  Has your weight increased significantly for unknown reasons in the past year? Do not answer this question if the weight gain is from consuming too many calories or getting too little exercise.
Don't know / not applicable
No / minimal change
5% to 10% / moderate weight gain
11% to 20% / major weight gain
Over 20% / very great weight gain
545.  If you are currently overweight with extra body fat, is the weight carried around the middle of your body (apple shape) or lower (pear shape)?
Apple shape
Neither / does not apply / don't know
Pear shape
546.  If you are significantly overweight with extra body fat, for roughly how many years has this been the case?
I'm not significantly overweight / don't know
Under 4 years
4 to 10 years
11 to 20 years
More than 20 years
547.  If you are significantly underweight, for roughly how many years has this been the case?
I'm not underweight / don't know
Under 4 years
4 to 10 years
11 to 20 years
More than 20 years

Add any additional information here for the questions above:

Please mention the question number(s) if possible.

 


 


GLOSSARY

Pound (lb, lbs)
454 grams, or about half a kilogram.





























 
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