Jiggle Junkie:
I have a few issues with how some of the questions were framed/presented—typical for me—and wish there had been a free-form box at the end. But did take it, and agree with others that something interesting might come out of it.
I was filling out the survey until question 10. I agree that there are problems with how it's framed. Seems like your options are either to encourage weight loss, or be manipulative. For me it's neither. There's no option for having a neutral conversation about it and letting the feedee decide for themselves. Also, the two options for immobility are duplicates. The only difference is that one uses caps.
In the end, I decided not to submit.