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I. IDENTIFICAÇÃO
Nome:.
Estado civil:
Altura:
Peso:
IMC:
II. QUESTIONÁRIO
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4. Como foi?
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7. Qual foi o mínimo de peso que já teve? Quando? Por quanto tempo?
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28. Você tem noção do excesso de peso, ou só percebe em fotos, filmagem alguém o critica?
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35. Conhece alguém que já realizou a cirurgia, se sim, como a pessoa está?
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39. Já foi no psiquiatra, se sim, qual foi à queixa? Receitou algum medicamento? Qual?
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