Table 1.

A Sample of the weight management clinic intake questionnaire

Which statement best describes your smoking history? I have never smoked. I smoke. (If so, how many cigarettes per day?) I quit smoking. (If so, how many years ago?) How many times during your life have you stopped smoking for more than 4 weeks? For how many years have you smoked? On average, how many cigarettes per day have you smoked over this time? Other topics include: Have you ever been diagnosed with high blood pressure? Have you ever been diagnosed with obstructive sleep apnea? Have you ever used a CPAP machine? etc

Note: For full detail on the clinic questionnaire, refer to Dent et al.¹⁰