|
Eating Habits Profile
(primarily for those who are trying
to lose weight) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For each statement, enter a score as follows:
|
|
5
|
= always true
|
|
|
|
|
|
|
4
|
= usually true
|
|
|
|
|
|
|
3
|
= sometimes
|
|
|
|
|
|
|
|
2
|
= occasionally
|
|
|
|
|
|
|
1
|
= never/rarely
|
|
|
|
|
|
|
0
|
= not applicable
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mealtimes:
|
|
|
|
|
|
|
|
|
I eat a good breakfast everyday:
|
|
|
|
|
I do not eat anything while I am cooking
|
|
|
|
I eat my main meals at the same time every day
|
|
|
I only eat while sitting at the table at meal times
|
|
|
I dress up the table and otherwise try to make my meals enjoyable
|
|
|
I leave the table and the room as soon as I have finished eating
|
|
|
I brush my teeth immediately after a meal to signify the end of the meal
|
|
|
I wait at least 20 mins before clearing the table and washing up the dishes
|
|
|
I immediately throw out left-overs or put them away in the refrigerator
|
|
|
|
|
|
|
|
|
|
|
Content:
|
|
|
|
|
|
|
|
|
My main meals are well balanced between the six food groups
|
|
|
I include lots of vegetables (preferably raw) in my main meals
|
|
|
I keep fats and oils to an absolute minimum in food preparation
|
|
|
I drink several extra glasses of water and/or club soda every day
|
|
|
I do not eat pastry, fried foods or other oily products
|
|
|
If I do have a snack, I eat crunchy vegetables or fruit
|
|
|
I keep acceptable snacks (fruit, carrot sticks, cauliflower, etc.) ready to eat
|
|
|
I only go to the grocery when I have eaten and I am not hungry
|
|
|
I eat diet food when I eat out, or carry my own food
|
|
|
I avoid alcohol, drugs, salt, fried foods, and sugar that will open my appetite
|
|
|
|
|
|
|
|
|
|
|
Amount:
|
|
|
|
|
|
|
|
|
|
I use a smaller plate so that my food looks and feels like more
|
|
|
I cut my food into small pieces before I start to eat
|
|
|
I eat slowly, take small bites and chew very thoroughly
|
|
|
I put my fork down on the plate between bites in order to slow down
|
|
|
I do not watch TV or distract myself from my food while I am eating
|
|
|
I do not take any second helpings
|
|
|
|
|
|
|
|
|
|
|
|
|
Control:
|
|
|
|
|
|
|
|
|
I reward myself with clothes, entertainment, etc.; never with food
|
|
|
If I should binge, I go back on my diet at the very next meal
|
|
|
I keep myself busy, especially at those times when I might snack
|
|
|
I keep notes and records of problems to avoid in the future
|
|
|
If I am a member of a support group, I attend every meeting
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Your eating habits score was
out of
or
|
|
which places you in the
category
|
