QUESTIONNAIRE

Wellbutrin and Weight loss

Wellbutrin and Weight Loss Questionnaire

Today's Date: ______________________________________

Name: _______________ Birth date: __________ Age: ___

You're Email Address: ________________________

Phone numbers: _____________________________

Referred by whom/how? ____________________

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Please answer every question as your answers will help us better understand “Wellbutrin and Weight loss”.

How much do you weigh at the moment?

40-50kg

51-60kg

61-69kg

70-85kg

Other____________

What are your weight loss goals?

Answer: _______________________________________

Why do you want to lose weight?

To look smarter

To live longer

To get relieve of wellbeing problems

Other____________

How do you think of weight to be a difficulty for you?

Answer: _______________________________________

What types of exercise you do mostly?

___________________________________________________

On a scale of 1 to 10 please choose a number to show how much you desire to lose weight.

Answer: _______________________________________

On a scale of 1 to 10 please choose a number to show how much you believe you can lose the weight you want to lose.

Answer: _______________________________________

What are you willing to do to lose your weight?

I can remain hungry for ever

I will use weight reducing pills

Other____________

Why did you choose Wellbutrin for weight loss?

Those who used have good remarks about it

Just liked to try it

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Because of doctor's suggestion

What measures have you taken to lose weight in recent times? Did you use Wellbutrin?

Answer: _______________________________________

What medicines have you used besides Wellbutrin? Did they work? Answer: _______________________________________

If you used Wellbutrin, how much weight did you lose?

1-3kg

4-7kg

8-12kg

Over 12kg

None

Name and telephone of your doctor?

Answer: _______________________________________

Do you smoke?

Yes

No

Do you drink alcohol? How much on an average?

Yes:______________

No

How numerous meals a day do you eat? Please describe:

Answer: _______________________________________

Do you consume between the meals? If yes, then approximately how much?

Answer: _______________________________________

Do you eat your food fast or slowly?

Fast

Slow

19. What foods do you like mostly?

Answer: _______________________________________

Do you skip meals?

Yes

No

Do you eat from out a lot?

Yes

No

Did you get any side effects after using Wellbutrin? What were they?

Answer: _______________________________________

Is Wellbutrin addictive?

Yes

No

Does usage of Wellbutrin helps in controlling weight loss and depression?

Yes

No

Background

Human beings need food to augment, duplicate, and maintain good wellbeing. Without nourishment, our bodies could not stay moderately hot, build or fix tissue, or sustain a heartbeat. Eating the right nourishment can help us bypass certain diseases or recover faster when illness happens. These and other significant purposes are fueled by chemical substances in our nourishment called nutrients. Nutrients are classified as carbohydrates, proteins, fats, vitamins, minerals, and water. Although humans need nourishment to survive, many persons consume too much, or choose the wrong nourishment to eat, which leads to the body putting on weight. When you eat more calories than your every day energy requirements the additional calories are stockpiled as body-fat. Slowly these fat cells hold construction up and resolve on the hips, waist, thighs, and top arms and back, as well as round the heart, kidneys, liver and other body parts. Luckily body-fat can effortlessly altered into power; however, you must decrease your fat intake and workout frequently. If you only reduce your fat and don't exercise, your body will furthermore shatter down sinew tissue and use them for fuel. Numerous persons labor to misplace weight that is put on and that's where heaviness ...