Were you an obese child or teenager?
If so, take our survey and make your voice heard!
Let's get some info out there to help teens and their parents cope with childhood obesity. Maybe if they hear our stories they will find a way to not follow in our footsteps. |
| At What Age did you first know you were overweight? |
|
| At What Age did you start your first diet? |
|
| Who got you started dieting? |
|
| Did being obese as a child keep you from pursuing activities you would have liked to have been in such as drama, dance, the band, etc., |
|
| On a scale of 1-5, rate the impact being obese as a child had on your overall happiness as a child. 0 being none, 5 being devastating. |
|
| On a scale of 1-5, rate the impact being obese as a teenager had on your overall happiness as a teen. 0 being none, 5 being devastating. |
|
| Rate the impact having been an obese child and/or teenager had/has on your adult life. 0 being none, 5 being devastating. |
|
| Do you think if your school/teachers intervened on your behalf it would have helped you? |
|
| Do you think your family doctor should have insisted on you being put on a special diet as a child or teenager and regularly monitored your progress. |
|
| Did you ever go to Fat Camp? |
|
If so, did it help beat your weight problems?
|
|
| Did you ever have suicidal thoughts as a child or teen because of your weight? |
|
If so, did you let your parents or some other adult know?
|
|
| Did you see a therapist as a child in regard to your weight? |
|
If yes, did it help? |
|
If no, do you think seeing a therapist could have helped you as a child or teenager deal with your weight?
|
|
| Do you wish your parents had seen a therapist to deal with your weight issues? |
|
| Did your mom, or main female caretaker have a weight problem? |
|
If so, was she obese?
|
|
Do you feel she transferred her own weight issues on to you? |
|
| Did your dad or main male caretaker have a weight problem? |
|
If so was he obese? |
|
Do you feel he transferred his own weight issues onto you? |
|
| Was your maternal grandmother obese? |
|
| Was your maternal grandfather obese? |
|
| Was your paternal grandmother obese? |
|
| Was your paternal grandfather obese? |
|
| How many siblings had a weight problem? |
|
If so were any of them obese as children or teenagers?
|
|
| Out of every hundred classmates in school how many would you say were overweight? Don't count obese kids. |
|
| Out of every hundred classmates in school how many would you say were obese? |
|
| How did your Mom handle your obesity? |
|
| How did your Dad handle your obesity? |
|
| How did your siblings handle your obesity? |
|
| How would you rate your self-image? |
|
| How much of low self-image do you feel came from being an obese child or teenager? |
|
| What level do you feel your parents negatively influenced your self-image? |
|
| What level do you feel your siblings negatively influenced your self-image? |
|
| Did you ever feel that your parents were ashamed of you because of your weight? |
|
| Did you ever feel your siblings were ashamed of you because of your weight? |
|
| Did you ever feel kids at school did not want to be your friend because of your weight? |
|
| Did you openly discuss your weight problem with your parents when you were a child or teenager? |
|
if yes, did it help?
|
|
| Were your parents overly concerned to the point that you were singled out at home with strict diets while everyone else ate other food? |
|
If above is yes, on a scale of 0 to 5, how much do you think that played a role in your current eating problems?
|
|
| Did your parents reward you with food for a job well done? |
Yes
|
| Did your parents console you with food when things went bad? |
|
| Did your parents use the removal of food as a form of punishment? |
|
| Were you molested or raped as a child or teenager? |
|
If yes, on a scale of 0 to 5, how much do you think that plays a role in your current weight problems?
|
|
| As a child or teenager, did you always want seconds or thirds at meals? |
|
| As a child or teenager, how often was there junk food in your home? |
|
| As a child or teenager did you do any secret eating? |
|
| As a child or teenager how often did you drink non-diet soda? |
|
| As a child or teenager, how often did you eat chips or other salty/crunchy foods? |
|
| As a child or teenager how often did you eat sweets? |
|
| As a child or teenager how often did you eat at fast food restaurants? |
|
| How many hours a day did you ride your bike as a child? |
|
| How many hours a week did you play sports as a child? |
|
| How many hours a week did you play sports as a teenager? |
|
| Did your parents play sports? |
|
| Did your siblings play sports? |
|
| How would you rate your childhood activity level? |
|
| How would you rate your teenage activity level? |
|
| Who/what do you blame the most for your childhood or teenager obesity? |
No one
|
| What is your current age? |
|
| Are you Female or Male? |
|
| Are you still obese? |
|
If not, at what age did you beat obesity?
|
|
If you are still obese, what % of your overeating today is caused by events of your childhood?
|
|
| Many obese children seem to have a tendency toward being overweight. Beyond this what do you believe, if there was one, what the major turning point was for you in going from chubby to obese, and at what age did this happen. |
(Optional) |
| What was the hardest part of being an obese child or teenager? |
(Optional) |
| What do you wish you had done better to deal with your obesity as a child or teen? |
(Optional) |
| Looking back, what do you think your parents could have done to help you manage your weight as a child or teenager? |
(Optional) |
| What advice would you give a parent today who is dealing with a child who is obese or is headed toward obesity? |
(Optional) |
| What advice would you give a child or teenager dealing with obesity to help them break this trend before it becomes a lifelong battle? |
(Optional) |
| Please enter a name or nickname to publicly show with your comments: |
|
| Your State/Province |
Please spell out |
| Your Country |
Please spell out |
| Your email address |
Your email address is a way for me to know people aren't submitting the survey more than once. You have my word, it will not be added to the mailing list or publicly associated with your survey. |
| Verify email address |
|
| Would you like to participate in a more in depth survey and offer ideas on how to help children and teenagers break obesity now rather than when they are adults? If so then I will use your email address above to contact you for this project only. |
|
| Do you agree that all comments made on this survey can be used by Carlene Jones in future publications whether in print, web cast, on-line, or other means of publication as she sees fit. Only your nickname and state/country location will ever be associated with the comments. |
|
| |
|
