Name *

First Name

Last Name

What's keeping you from realizing this dream?

Time

Support

Resources

Other

Check the current statements that best describe your eating habits:

I usually don’t realize I’m hungry until I’m ravenous.

I’m often not satisfied until I’m stuffed.

I can’t say no to foods like chocolate or chips.

OptionI follow the “see food diet”: When it’s there, I eat it.

I usually quit eating when I feel like I’ve comfortably had enough.

I always worry whether the foods I eat will make me gain or lose weight.

The only way I know to stop eating is when the plate is “clean”.

I don’t really think about what I eat, I just grab whatever is available.

Most of the time, I eat only when I’m hungry.

I often get so hungry that rich foods are more appealing than lighter ones.

I usually quit eating because I lose interest in food as I become satisfied.

I stop eating because I think I should.

I like nutritious foods, but I forget to have them.

I feel that I can never get enough of certain foods I think I shouldn’t eat.