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EATING HABITS INVENTORY WHEN, WHERE AND WHY YOU EAT
WHEN: I eat when I am feeling:
Hungry
Yes
No
Nervous
Yes
No
Bored
Yes
No
Stressed
Yes
No
Hyperactive
Yes
No
Happy
Yes
No
Sad
Yes
No
Lonely
Yes
No
Frustrated
Yes
No
Anxious
Yes
No
Other
Yes
No
If you answered Other above, please specify.
WHERE: I eat too much or snack:
While watching TV
Yes
No
In groups
Yes
No
While reading
Yes
No
During coffee breaks
Yes
No
Between home & office
Yes
No
At sports events
Yes
No
At business lunches
Yes
No
In bed
Yes
No
Other
Yes
No
If you answered Other above specify.
WHY: I treat myself to a snack or meal whenever I need:
Love
Yes
No
A reward
Yes
No
Companionship
Yes
No
Something to do
Yes
No
A change in my activity
Yes
No
To compensate for something unpleasant
Yes
No
To relax
Yes
No
To feel more important
Yes
No
To feel secure
Yes
No
Sexual attention
Yes
No
Other
Yes
No
If you answer Other above, please specify.
If you don't have at least three statements that ring true for you, go back and look again until you do!