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Mokie Research — Participant Intake

Thank you for your interest in the Mokie study. This takes about 4 minutes. Your answers form our baseline data — please be as accurate as you can. Once submitted you'll receive access within 24 hours from hello@mokie.app

Email address

What is your first name

Which GLP-1 medication have you used?

A
B
C
D
E

How long have you been using or did you use GLP-1 medication?

A
B
C
D
E

What is your current status?

A
B
C
D
E
F

If you have reduced or stopped — what was the main reason?

A
B
C
D
E
F
G
Your weight

What was your weight when you started GLP-1 medication?

Approximate is fine — kg or lbs, whichever you prefer

What is your weight today?

Approximate is fine — please use the same units throughout the study

Approximately how much weight have you lost since starting GLP-1?

A
B
C
D
E
F
How you're feeling right now

How concerned are you about regaining weight?

Not at all concernedExtremely concerned

How would you rate your food noise right now?

Food noise = persistent thoughts, cravings, or mental preoccupation with food
No food noise at all Constant, overwhelming food noise

How would you describe your hunger compared to when you were at your peak dose of medication?

A
B
C
D
E
Control of Eating Questionnaire (CoEQ)
The following questions are from a validated research questionnaire about eating behaviour. Please rate how you have felt over the past 2 weeks.

How often have you felt hungry?

0 = Not at all10 = All of the time

How strong have your hunger feelings been?

0 = Not at all10 = All of the time

How often have you had a craving to eat?

0 = Not at all10 = All of the time

How strong have your cravings been?

0 = Not at all10 = All of the time

How often have you thought about food?

0 = Not at all10 = All of the time

How difficult has it been to resist eating between meals?

0 = Not at all10 = All of the time

How often have you eaten in response to emotions (stress, boredom, sadness)?

0 = Not at all10 = All of the time

How satisfied have you felt after eating a meal?

0 = Not at all10 = All of the time

How full have you felt after eating a normal-sized meal?

0 = Not at all10 = All of the time
About you

Age range

A
B
C
D
E
F

Gender

A
B
C
D

Country

A
B
C
D

Is there anything else you'd like us to know before you start?

Thank you. You'll receive your access link at the email above within 24 hours. By submitting this form you consent to anonymised use of your responses for research purposes. You can withdraw at any time by emailing hello@mokie.app