Mindful Eating Questionnaire If you are a human and are seeing this field, please leave it blank. Whether you're aware of it or not, you have a tendency to repeat certain patterns in your eating. Your dominant eating cycle has an important impact on your health, focus, and satisfaction with this aspect of your life. Since you can only change the things that you are aware of, this assessment is a powerful first step toward meaningful transformation. First Name Last Name Email How well do each of the following statements describe you? This sounds... A. nothing like me B. a little like me C. somewhat like me D. a lot like me E. exactly like me 1. I have tried diet pills, herbs or supplements to help me manage my weight. 2. I eat when I'm sad, lonely, or angry. 3. I enjoy being physically active. 4. I have trouble stopping myself once I have eaten a food I think is "bad." 5. I eat when I'm tired. 6. I don't feel guilty for eating certain foods. 7. I reward or comfort myself with food. 8. I weigh myself frequently (more than once a week). 9. I don't follow any specific diet plan. 10. I don't know why I eat. 11. I feel guilty when I eat certain foods. 12. I try to eat a balanced diet but I don't have to be perfect. 13. I avoid certain places or situations to keep myself from overeating. 14. I eat in front of the TV or while I'm reading, driving or working. 15. I guess I just have a good metabolism. 16. I exercise to control my weight. 17. I eat differently in private than I do in public. 18. I keep food handy in case I get hungry. 19. I exercise to burn off any extra calories I eat. 20. I overeat sometimes but then I'm less hungry later so my body seems to naturally make up for it 21. I often eat until I am stuffed. 22. I can eat pretty much whatever I want. 23. I can guess how many calories are in most foods. 24. I don't think about food that much unless I'm physically hungry. 25. I don't eat foods that are high in certain ingredients (like calories, fat or carbs). 26. I eat to live, not live to eat. 27. I eat when I'm stressed or nervous. 28. I eat when I'm hungry even if it isn't mealtime. 29. I eat on a schedule so I won't get hungry. 30. I love food and eating too much to be a healthy weight. 31. I have weighed about the same for the last several years. 32. I have tried a lot of diets. 33. I know I'm not hungry but I eat anyway. 34. I maintain a fairly healthy weight without a lot of effort. 35. I often weigh, measure or count what I eat. 36. I can't tell when I'm hungry. 37. I read a lot of diet books and articles about dieting. 38. I think about eating all of the time. 39. I usually eat because I'm hungry. 40. I am an emotional eater. 41. I usually stop eating when I'm comfortably full, even if there's food left on my plate. 42. I eat by the clock whether I am hungry or not. 43. I use labels to decide whether I can eat a particular food. 44. I eat when I'm bored. 45. I have more willpower than most people I know.