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Weight Management Comprehensive Assessment Form

​Section 1: Wairua/Beliefs

These questions are about recognising your perceptions/beliefs at this time.

Please also consider:
  • If faith, spirituality, religion or your community is important to you?
  • If advice/support is sought from a spiritual advisor, church leader, Tohunga or community group?
If so, the person may benefit from bringing a relevant support person to each appointment.
1. How important is healthy eating to you at this time? *This question is required.
5 – Always4 – Most of the time3 – Sometimes2 – Rarely1– Never
2. How important is being active to you at this time? *This question is required.
5 – Always4 – Most of the time3 – Sometimes2 – Rarely1– Never