Please answer the following
questions by checking the appropriate box. After answering the
questions please print out this Questionnaire and have it available when
contacting Lisa. You can reach her at 248.547.8801 for further
Do I feel the need to eat immediately before or right after completing
Do I find myself eating without having thought about it and not really
caring about what I eat?
Do I snack regularly while engaging in an activity or chore?
Do I feel that I need to eat until it's all gone?
Do I feel the need to eat even after I am full?
Do I eat until I feel bloated without realizing it?
Do I have difficulty remembering having feelings of hunger before
Do I use food as a reward?
Do I feel that my weight issues are hopeless and so I don't even try
to control my food intake?
Do I eat when I am stressed?
Do I eat when I am lonely?
Do I eat when I have to deal with unpleasant situations?
Do I eat to please other people such as a family member who has
prepared a meal?