In this survey, you will read statements about food and eating. You will decide how much you agree with the statement on a 5 point scale. If you fully agree with the statement, you will select 5. If you disagree, pick 1.
Next
I feel out of control in the presence of delicious food.
1- Not at all like me
5- Exactly like me
1
5
When I start eating, I just can’t seem to stop.
1- Not at all like me
5- Exactly like me
1
5
It is difficult for me to leave food on my plate.
1- Not at all like me
5- Exactly like me
1
5
When it comes to foods I love, I have no willpower.
1- Not at all like me
5- Exactly like me
1
5
I get so hungry that my stomach often seems like a bottomless pit.
1- Not at all like me
5- Exactly like me
1
5
I don’t get full easily.
1- Not at all like me
5- Exactly like me
1
5
It seems like most of my waking hours are preoccupied by thoughts about eating or not eating.
1- Not at all like me
5- Exactly like me
1
5
I have days when I can’t seem to think about anything else but food.
1- Not at all like me
5- Exactly like me
1
5
Food is always on my mind.
1- Not at all like me
5- Exactly like me