Built Daily IDEAL BODY FORMULA Your privacy is important to us. Your information on this page will only be used to generate your assessment results. Your name and email address will only be used to send you follow up content that will further help you achieve your ideal body. Your information is never given to or sold to third parties. Answer the questions below to the best of your ability and I will personally assess your results and email you my analysis 1 = Strongly Agree 10 = Strongly Disagree Food 1 – I wait until it’s time for me to eat my scheduled meal even if I’m hungry now. 1 2 3 4 5 6 7 8 9 10 2 – I overeat on the weekends and wipe out the progress I’ve made during the week 1 2 3 4 5 6 7 8 9 10 3 – I avoid foods containing sugar or starch because they’ll make me gain weight 1 2 3 4 5 6 7 8 9 10 4 – I feel guilty when I eat something that isn’t on my plan or if I eat too much 1 2 3 4 5 6 7 8 9 10 5 – I label foods as “good” or “bad” or “healthy” or “unhealthy” 1 2 3 4 5 6 7 8 9 10 6 – If I’m hungry but I’ve already reached my calorie limit for the day I don’t eat 1 2 3 4 5 6 7 8 9 10 7 – When I mess up and overeat one day I compensate by eating less the next day 1 2 3 4 5 6 7 8 9 10 8 – I’m preoccupied with thoughts about food and what and how much to eat 1 2 3 4 5 6 7 8 9 10 9 – I have a hard time eating fun foods without it leading to out of control eating 1 2 3 4 5 6 7 8 9 10 10 – I struggle with knowing how much to eat if I’m not counting calories 1 2 3 4 5 6 7 8 9 10 Body 1 – I worry about what other people think of my body. 1 2 3 4 5 6 7 8 9 10 2 – I want to lose weight so that I will feel more confident. 1 2 3 4 5 6 7 8 9 10 3 –I avoid the beach and pool because I don’t feel comfortable in a swimsuit. 1 2 3 4 5 6 7 8 9 10 4 –When I try on clothes I get upset with how they fit and how I look in the mirror 1 2 3 4 5 6 7 8 9 10 5 –I use words to describe my body that I would never say to another person. 1 2 3 4 5 6 7 8 9 10 6 –My body keeps me from living my full life experience 1 2 3 4 5 6 7 8 9 10 7 –I find it difficult to accept myself as-is without contingencies 1 2 3 4 5 6 7 8 9 10 8 –If I was the only person in this world I would no longer want to lose weight 1 2 3 4 5 6 7 8 9 10 9 –I find myself frequently comparing myself to other people 1 2 3 4 5 6 7 8 9 10 10 –I’m more focused on what my body looks like instead of what it’s capable of 1 2 3 4 5 6 7 8 9 10 Mind 1 – I am frequently emotionally triggered and influenced by the number on the scale 1 2 3 4 5 6 7 8 9 10 2 – I tend to lose motivation to take action after a few days or weeks 1 2 3 4 5 6 7 8 9 10 3 –I tend to be fixated on the outcome at the expense of enjoying the journey 1 2 3 4 5 6 7 8 9 10 4 –My happiness is contingent upon my future weight being lower 1 2 3 4 5 6 7 8 9 10 5 –I view struggles and mess-ups as a sign that I’m doing something wrong 1 2 3 4 5 6 7 8 9 10 6 –I frequently change my goals and program because I believe I’ve found a better way 1 2 3 4 5 6 7 8 9 10 7 –If I’m not losing weight or losing it slowly I get frustrated and give up 1 2 3 4 5 6 7 8 9 10 8 –I let my past weight loss failures negatively influence belief in my future success 1 2 3 4 5 6 7 8 9 10 9 –I’m a perfectionist and won’t take action unless conditions are close to perfect 1 2 3 4 5 6 7 8 9 10 10 –I need external validation from others to feel good about how I look and what I do 1 2 3 4 5 6 7 8 9 10 Exercise 1 – The primary reason I exercise is to burn calories and/or change my body 1 2 3 4 5 6 7 8 9 10 2 – If I could never lose another pound I would no longer do my current workout program 1 2 3 4 5 6 7 8 9 10 3 –If I eat too much one day I will increase the amount of exercise I do to compensate 1 2 3 4 5 6 7 8 9 10 4 –I consider physical activity outside of my workout a chore and try to avoid if possible 1 2 3 4 5 6 7 8 9 10 5 –I have a hard time not working out when I’m sick or injured and do it anyways 1 2 3 4 5 6 7 8 9 10 6 –I feel like I have to do a lot of exercise in order to lose weight 1 2 3 4 5 6 7 8 9 10 7 –I exercise so that I can eat more food or to allow myself to be looser with my diet 1 2 3 4 5 6 7 8 9 10 8 –I frequently feel exhausted after my workout and it affects the rest of my day 1 2 3 4 5 6 7 8 9 10 9 –I find myself skipping workouts because I don’t feel motivated to do them 1 2 3 4 5 6 7 8 9 10 10 –I choose my exercise based on what someone else does that has the body I want 1 2 3 4 5 6 7 8 9 10 Submit Assessment
