Food Addiction Questionnaire

 

Have you ever wanted to stop over-eating and found you just couldn't?(Required)
Do you constantly think about food or your weight?(Required)
Do you find yourself attempting one diet after another, with no lasting success?(Required)
Do you eat differently in private than you do in front of other people?(Required)
Has a doctor or a family member ever expressed concern about your eating habits or weight?(Required)
Do you eat large quantities of food at one time (binge)?(Required)
Is your weight problem due to your snacking all day?(Required)
Do you eat or snack at night to relax?(Required)
Do you eat to escape from your emotions or feelings?(Required)
Do you eat when you're bored?(Required)
Have you ever hidden food to make sure you will have "enough"?(Required)
Do you feel driven to exercise excessively to control your weight?(Required)
Do you frequently feel guilty for eating too much?(Required)
Do you feel hopeless about your relationship with food?(Required)
Your Name