X-WEIGHTED APPLICATION

CASTING HAS COMPLETED FOR THE 2007-08 SEASON OF X-WEIGHTED. THE FORM BELOW WAS USED FOR THE 2007 OPEN CALLS. TO APPLY TO BE CONTACTED WHEN OPEN CALLS ARE ARRANGED FOR THE 2008-09, COPY THIS FORM, COMPLETE IT AND EMAIL IT TO xweighted@anaid.com.

The producers of X-WEIGHTED and TAKING IT OFF are searching for overweight participants with unique, affecting and inspiring stories to share and explore. Please apply if you fit the following description:

are between the ages of 18 and 45
have 30-80lbs you want to lose over 6 months
are willing to commit to a serious diet and exercise program for 6 months
have circumstances in your life that are touching, compelling or unusual
are unafraid to publicly examine the root causes of your weight gain
already live in Victoria, Toronto, Calgary, or Winnipeg AND have families, friends or colleagues willing to support you and be part of our show
emotionally meaningful, visual goal, that we can film, to work towards in six months that will motivate your weight loss (e.g. a special reunion, wow a lost friend, etc).

To apply please bring this questionnaire and a full body, recent photo to the open casting call, listed below, in your city. You may email questions to xweighted@anaid.com.


Only applicants chosen for callbacks will be contacted.

Name: _______________________________________________

Date of Birth: _______________________________________________ Age:_____

Male _____ Female ______

Occupation: _________________________________________________
Height: __________ Weight (best guess): __________

Day Phone: ___________________________

Night Phone: ___________________________
Cell Phone: ___________________________
Email home: ______________________ Email work: _____________________

Address: _________________________________________________________

Length of time lived in above city or town: ___________________________________

Marital Status: Single ____ Dating _____ Married _____ Separated _____ Engaged _____ Common Law _______
Are you a parent? Y _____ N _____
# of children and their ages: __________________________________________
If applicable, do you have: shared custody ____ full custody____ legal guardianship _____
Total # of individuals residing in your household: _________________________
Do you have pets? _____ Describe _____________________________________
How flexible is your schedule? ________________________________________
Do you have any on-camera, on-stage experience?
Yes____ No___ Describe____________________________________________
Are you a member of ACTRA? _______________________________________
Can we film your family? Y______ N ______
Can we film at your workplace? Y_____ N_____
Do you understand that being on this show will mean having a camera crew follow you around occasionally and sporadically in your daily activities involving home, work, recreation, exercise and (gasp) weigh-ins? Y ______ N ______
How will your family feel about being part of a documentary shoot for 6 months?
________________________________________________________________

Please list all the activities you do on a regular basis. Include work, school, family obligations, recreation, hobbies, volunteer duties etc.
[E.g. Mon 7-8 walk dog; 9-5 work; 7-8 watch tv; 8-9 visit mom; 8-9 bingo (1x month) ]

Mon:______________________________________________________________________________________________________________________________Tues:_____________________________________________________________________________________________________________________________
Wed:______________________________________________________________________________________________________________________________Thurs:_____________________________________________________________________________________________________________________________
Fri:_________________________________________________________________________________________________________________________________Sat:_______________________________________________________________________________________________________________________________
Sun:________________________________________________________________________________________________________________________________
1) How do you feel about yourself at your current weight?____________________________________________________________________________________________________________________________
2) In what ways has your weight affected your:Overall happiness: ______________________________________________
______________________________________________________________
Plans/goals:____________________________________________________
Mental health: __________________________________________________
Day to day comfort: _____________________________________________

3) How has it affected relationships? (with family, friends, colleagues)
______________________________________________________________________________________________________________________________
4) List the top 3 reasons you think you’ve become this weight:_____________________________________________________________________________________________________________________________________________________________________________________________
5) Describe the things that get in the way of your losing weight:
_______________________________________________________________
_______________________________________________________________

6) Do you believe your weight gain is connected to particular life experiences?_____
Explain:_____________________________________________________________________________________________________________________________

7) Why is it so important to you to lose weight NOW?______________________________________________________________________________________________________________________________
8) At the end of six months, what meaningful, visual measure of your success that we can film are you aiming for? (e.g. start dating, try a new sport/venture, wow a lost friend etc?)
______________________________________________________________________________________________________________________________Why will this goal motivate you?____________________________________________________________________________________________________

9) How would other people describe you? (physically, emotionally, professionally) __________________________________________________________________________________________________________________________________
10) What other challenges/preoccupations do you currently have besides weight loss?______________________________________________________________
11) What aspects of your story are unusual or potentially inspiring? ____________________________________________________________________________________________________________________________
12) How do you feel about consulting psychologists, stress counselors or other behavioural experts in order to achieve your weight-loss goals?____________________________________________________________________________________________________________________________________
13) Are you currently involved in a weight-loss program? Y ____ N _____Describe ____________________________________________________________________________________________________________________________
14) If not, do you have a weight-loss approach selected? Y ____ N______Describe________________________________________________________
15) Are you interested in any of the following approaches?Weight Watchers ________ Dr. Phil _______Jenny Craig ________ Atkins Diet _______South Beach Diet ________ Body for Life _______The Zone ________ Glycemic Index _______Suzanne Somers ________ Eat for Blood Type _______Dr Bernstein clinic ________ French woman’s diet _______Exercise or Trainer ________ Other____________________________
16) How much weight do you want to lose in a six-month period?___________
*We are looking for people who are committed to losing 30-80lbs over 6 months
17) What are your hobbies, interests, unusual/unique skills?__________________________________________________________________________________________________________________________________

18) Are there any new sports or activities you would like to try? _________________________________________________________________
19) What major events are scheduled for your life during May 07 – Jan 08?__________________________________________________________________________________________________________________________________

20) Why are you prepared to put your story and your flaws on TV?__________________________________________________________________________________________________________________________________

21) Do you watch X-Weighted or Taking It Off? Y ____ N _____
Which participant do you relate to the most? Why?
__________________________________________________________________
What do you like the most/least about X-Weighted? ________________________
__________________________________________________________________

22) Why do you think your story would be appealing to viewers?
__________________________________________________________________

23) Is there anything else you’d like us to know? __________________________________________________________________

24) How did you hear about the open casting call?
__________________________________________________________________

The questionnaires are for the sole purpose of determining suitable candidates for X-Weighted only. All questionnaires will be held in confidence and are not shared with an other organization. Upon completion of the casting process and the delivery of X-Weighted, Season III for broadcast, the questionnaires will be archived.