Eating Behavior Assessment

Eating behavior is complex. No single tool or assessment can discern exactly why people eat as they do.

However, certain questions can help guide you in the right direction.

Below you’ll find 20 questions about eating. Please read each question carefully and choose the answer that feels most accurate for you.
Please choose only one answer. And please answer all questions.
There are no incorrect answers; it’s your opinion that counts

Please be as honest as possible.
There is no judgment here. These are just data. Having accurate information allows us to work together to help you reach your goals.

Take the assessment

Full Name

External / Environmental Eating.

1. I feel like eating whenever I see or smell good food.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

2. Walking past a candy store makes me feel like eating.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

3. Watching others eat makes me feel like eating too.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

4. I find it difficult to stay away from delicious food.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

5. I feel like eating when I walk past a restaurant or fast food restaurant.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

6. If somebody prepares food, I get an appetite.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

Emotional Eating.

7. If I feel depressed, I get a desire for food.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

8. If I feel lonely, I get a desire for food.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

9. Worrying makes me feel like eating.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

10. If things go wrong, I get a desire for food.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

11. I have a desire to eat when I feel restless.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

12. I have a desire for food when I am afraid.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

13. If I feel sorry I feel like eating.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

Restrained / Restrictive Eating.

Some description about this section

14. I keep an eye on exactly what I eat.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

15. I intentionally eat food that helps me lose weight.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

16. If I have eaten too much, I intentionally eat less than usual the next day.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

17. I intentionally eat less to avoid gaining weight.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

18. I have tried not to eat in between meals to lose weight.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

19. I have tried to avoid eating after my evening meal to lose weight.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

20. When I eat, I think about whether that food will help me gain or lose weight.

NEVER

OCCASIONALLY

SOMETIMES

OFTEN

VERY OFTEN

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