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Are you an Intuitive Eater?

I try to avoid certain foods high in fat, carbs, or calories.
Yes
No
If I am craving a certain food, I don't allow myself to have it.
Yes
No
I get mad at myself for eating something unhealthy.
Yes
No
I have forbidden foods that I don't allow myself or my family to eat or keep in the house.
Yes
No
I need meal plans in order to know what to eat.
Yes
No
I will only allow myself to eat at certain times.
Yes
No
I use food to soothe or comfort.
Yes
No
Other coping techniques don't come to mind during difficult moments, other than eating.
Yes
No
(Select all that apply, if any.) I find myself eating when I'm feeling _________ even if I'm not physically hungry.
Anxious
Sad
Depressed
Angry
Lonely
Stressed out
Bored
None
I have trouble noticing when I'm hungry or full.
Yes
No
How often do you find yourself missing meals even though you're hungry?
More than once a day
Once a day
3-5 times per week
1-2 times per week
I rarely miss a meal
I find myself feeling more hungry at night than during the day.
Yes
No
I usually find myself _______ after meals.
Comfortably full
Uncomfortably full
Sometimes I feel out of control when I eat, whether it's with a certain food or at meals in general.
Yes
No
I tend to continue eating even though I know that I'm full.
Yes
No
How long are your meals?
Less than 5 minutes
5-10 minutes
11-20 minutes
20-30 minutes
I feel hungry after meals.
Yes
No
I tend to feel unsatisfied after meals.
Yes
No
I only eat/drink certain things at specific times. For example, beer on Saturday, pizza once a month, cake only on birthdays.
Yes
No
On cheat days, I notice that I eat a lot.
Yes
No
I don't have cheat days.
Most of the time, I desire nutritious foods.
Yes
No
I mostly eat foods that will help my body perform well.
Yes
No
A good work out has to be a certain length of time or certain amount of calories burned, otherwise it doesn't count.
Yes
No
How do you feel about exercise?
I think it's fun.
I dread/avoid it.
I do it only because I should.
My purpose is to help with my stress, sleep, and overall health.
My main reason is to lose weight.
I can't exercise (physical, financial, or time issues)
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