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Readiness to Change Questionnaire

Please read the sentences below carefully. For each one please tick the answer that best describes how you feel. Your answers will be private and confidential.

1

My eating is okay as it is

2

I am trying to eat less than I used to

3

I enjoy my food but sometimes I eat too much

4

I should probably cut down on my eating

5

It's a waste of time thinking about my eating

6

I have just recently started to change my eating habits

7

Anyone can talk about wanting to do something about eating and dieting, but I am actually doing something about it

8

I am at the stage where I probably should think about eating less

9

My eating is definitely a problem

10

It's alright for me to keep eating as I do now

11

I am actually changing my eating habits right now

12

My life would still be the same, even if I did eat less

CHOOSE YOUR MEMBERSHIP OPTION

3

THE GROUP

The Happiness Diet Group Program is a 6 month coaching psychologist facilitated program. The program includes lessons, information and activities to watch and try out.

The group program provides the strongest peer support through a wider network of participants. By sharing your goals, discussing progress and techniques, you can receive and provide support to the whole group.

6 MONTH PROGRAM = $99 $49.50/mth pp

As a special limited time offer, sign up to our group program for just $49.50/mth, that’s a saving of 50%!

2

THE BUDDIES

The Happiness Diet Buddies program includes the same material as the group program, and is designed to be undertaken in pairs. You will develop a strong and supportive empathetic bond with another participant, charting success together.

6 MONTH PROGRAM = $99/mth

Use your brain, sign up a friend for free.
This offer is only available with 'The Buddies' option.

1

THE INDIVIDUAL

The Happiness Diet Individual Program is a 6 month coaching psychologist facilitated program. The program includes lessons, information and activities to watch and try out. While, you have access to the team at the Happiness institute, you do not have any diet partners. We strongly encourage you to work with others, as empathetic and encouraging connections can significantly increase your chance of success.

6 MONTH PROGRAM = $99/mth pp

PAYMENT OPTIONS

The Happiness Diet accepts Credit Card, Direct Debit or Paypal. Please note that we DO NOT accept American Express, cheque, cash or money order. If you wish to pay over the phone using your Credit Card, please select the option below and call (02) 9221 3306.

FREE REGISTRATION

Buddies join The Happiness Diet for FREE! Please enter below the coupon code provided on your registration email to finish the registration.

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