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Primary Care
Hormone Therapy
- Take Quiz: Are my symptoms related to perimenopause or menopause?
Immune Health
Weight Management
Emsculpt

Primary Care
Hormone Therapy
- Take Quiz: Are my symptoms related to perimenopause or menopause?
Immune Health
Weight Management
Emsculpt

Blog
Gallery
About Us
Make A Payment
Payment Plans
Patient Portal
Quizzes
Contact
News & Specials
Shop
- Buy Vitamin Injections
- Gift Card

Primary Care
Hormone Therapy
- Take Quiz: Are my symptoms related to perimenopause or menopause?
Immune Health
Weight Management
Emsculpt

703.544.9113

Primary Care
Hormone Therapy
- Take Quiz: Are my symptoms related to perimenopause or menopause?
Immune Health
Weight Management
Emsculpt

Weight Loss Readiness Test

Discover Your Diet Personality

Are you ready to lose weight? Your attitude about weight loss affects your ability to succeed.

Take this Weight-loss Readiness Quiz to learn if you need to make any attitude adjustments before you begin.

Weight Loss Readiness Quiz

"*" indicates required fields

Step 1 of 5

20%

Appetite

Select the answer that best describes your normal reaction

A. When food is mentioned in a conversation or reading, do you want to eat even when you are not hungry?*

Never

Rare

Sometimes

Often

Always

B. How often do you have trouble controlling your appetite when your favorite foods are accessible?*

Never

Rare

Sometimes

Often

Always

C. How often do you eat because of physical hunger?*

Always

Often

Sometimes

Rare

Never

D. How often do you eat because of cravings?*

Never

Rare

Sometimes

Often

Always

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Appetite Score

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Appetite 4-10

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Appetite 11-16

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Appetite 17-20

Control

For the next questions, would you eat more or less than planned?

A. A friend talks you into eating out with them*

Much Less

Bit Less

No Difference

Bit More

Much More

B. You break your diet for a cheat meal or snack.*

Much Less

Bit Less

No Difference

Bit More

Much More

C. While doing idle tasks (watching tv, reading, etc)?*

Much Less

Bit Less

No Difference

Bit More

Much More

D. Excluding holidays, how often do you “overeat” or “feel stuffed” after eating?*

Never

Less than once per month

Once per month

Few times per month

Once per week

Three per week

Daily

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Control Score

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Control 4-11

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Control 12-17

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Control 18-21

Emotional Eating

Do you eat more than normal when you...

A. Have negative feelings such as anxiety, depression, anger or loneliness ?*

Never

Rare

Sometimes

Often

Always

B. Have positive feelings, such as to celebrate by eating ?*

Never

Rare

Sometimes

Often

Always

C. Have unpleasant interactions with others in life, at work, etc?*

Never

Rare

Sometimes

Often

Always

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Emotional Eating Score

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EMOTIONAL EATING 3-8

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EMOTIONAL EATING 9-11

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EMOTIONAL EATING 12-15

Readiness

Select the best answer

A. How motivated are you to lose weight right now?*

Not at all

Slightly

Somewhat

Confident

Extremely

B. Can you stay committed during the time it takes to reach your goal?*

Not at all

Slightly

Somewhat

Confident

Extremely

C. Can you tolerate the effort required to stick to a diet and exercise, considering the current state of your life (stress at work, family, obligations, etc)*

Not at all

Slightly

Somewhat

Confident

Extremely

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Readiness Score

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READINESS 3-7

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READINESS 8-12

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READINESS 13-15

Name*

Phone*

Email*

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Harmony in Health seeks to earn your trust by providing high-quality, honest, personalized medical care. Our priority is to focus on the needs of our patients by actively allowing them to restore their overall Health.

Location

10680 Main St., Suite 130
Fairfax, VA 22030
Phone: 703.544.9113
[email protected]

(Located on 1st Floor Suite 130 of Mainland Building)

Hours of Operation

Monday: 10:00 AM–1:00 PM
(Virtual Only)
Tuesday: 9:00 AM–12:30 PM | 2:30 PM–7:00 PM
Wednesday: 9:00 AM–12:30 PM | 2:30 PM–7:00 PM
Thursday: 9:00 AM–12:30 PM | 2:30 PM–7:00 PM
Friday: 9:00 AM–1:00 PM
(Admin Only)
Saturday: 10:00 AM–4:00 PM (Emsculpt only)
Sunday: CLOSED

Shopping Cart

Weight Loss Readiness Test

Discover Your Diet Personality

Are you ready to lose weight? Your attitude about weight loss affects your ability to succeed.

Take this Weight-loss Readiness Quiz to learn if you need to make any attitude adjustments before you begin.

Weight Loss Readiness Quiz

Appetite

Control

Emotional Eating

Readiness

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