Bariatric Surgery Readiness Quiz

Gender

Female

Male

Prefer not to answer

Age

Under 25

26 - 35

36 - 45

46 - 55

56 - 65

Over 65

BMI (Body Mass Index): What is your current BMI?

A) 40 or higher

B) 35-39.9 with obesity-related health conditions

C) 30-34.9 with severe obesity-related health conditions

D) Less than 30

Medical History: Do you have obesity-related health conditions (e.g., diabetes, hypertension, sleep apnea)?

A) Yes, multiple conditions

B) Yes, one condition

C) Suspected but not diagnosed

D) No conditions

Weight Loss Goals: What is your primary goal for seeking bariatric surgery?

A) To improve overall health and reduce the risk of obesity-related diseases

B) To achieve significant weight loss for better quality of life

C) To improve physical appearance

D) Unsure or other reasons

Psychological Readiness: How prepared are you to make permanent lifestyle changes required after surgery?

A) Fully prepared and committed

B) Somewhat prepared but need more information

C) Not sure if I can make permanent changes

D) Not prepared to make lifestyle changes

Nutritional Understanding: How well do you understand the dietary changes required after bariatric surgery?

A) Very well, I'm familiar with the post-surgery diet

B) Somewhat, but I need more guidance

C) Not very well, I need to learn more

D) Not at all, I haven't looked into it

Physical Activity: How willing are you to incorporate regular physical activity into your lifestyle post-surgery?

A) Very willing, I understand its importance

B) Somewhat willing, but I need motivation

C) Not very willing, I struggle with exercise

D) Unwilling, I don't plan to change my activity level

Support System: Do you have a strong support system to help you through the surgery and recovery process?

A) Yes, I have a solid network of support

B) I have some support but could use more

C) I have limited support

D) No, I lack a support system

Understanding of Surgery: How well do you understand the different types of bariatric surgery and their implications?

A) Very well, I've researched and discussed them with a healthcare professional

B) Somewhat, but I need more information

C) Not very well, I'm unfamiliar with the options

D) Not at all, I haven't looked into the types of surgery