Intuitive Eating AssessmentPlease fill out the assessment at least 24 hours before class to provide enough time for processing. Name * First Name Last Name Email * I try to avoid certain foods high in fat, carbohydrates, or calories. Strongly Disagree Disagree Neutral Agree Strongly Agree I have forbidden foods that I don’t allow myself to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I get mad at myself for eating something unhealthy. Strongly Disagree Disagree Neutral Agree Strongly Agree If I am craving a certain food, I allow myself to have it. Strongly Disagree Disagree Neutral Agree Strongly Agree I allow myself to eat what food I desire at the moment. Strongly Disagree Disagree Neutral Agree Strongly Agree I do NOT follow eating rules or dieting plans that dictate what, when, and/or how much to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I find myself eating when I’m feeling emotional (e.g., anxious, depressed, sad), even when I’m not physically hungry. Strongly Disagree Disagree Neutral Agree Strongly Agree I find myself eating when I am lonely, even when I’m not physically hungry. Strongly Disagree Disagree Neutral Agree Strongly Agree I use food to help me soothe my negative emotions. Strongly Disagree Disagree Neutral Agree Strongly Agree I find myself eating when I am stressed out, even when I’m not physically hungry. Strongly Disagree Disagree Neutral Agree Strongly Agree I am able to cope with my negative emotions (e.g., anxiety, sadness) without turning to food for comfort. Strongly Disagree Disagree Neutral Agree Strongly Agree When I am bored, I do NOT eat just for something to do. Strongly Disagree Disagree Neutral Agree Strongly Agree When I am lonely, I do NOT turn to food for comfort. Strongly Disagree Disagree Neutral Agree Strongly Agree I find other ways to cope with stress and anxiety than by eating. Strongly Disagree Disagree Neutral Agree Strongly Agree I trust my body to tell me when to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I trust my body to tell me what to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I trust my body to tell me how much to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I rely on my hunger signals to tell me when to eat. Strongly Disagree Disagree Neutral Agree Strongly Agree I rely on my fullness (satiety) signals to tell me when to stop eating. Strongly Disagree Disagree Neutral Agree Strongly Agree I trust my body to tell me when to stop eating. Strongly Disagree Disagree Neutral Agree Strongly Agree Most of the time, I desire to eat nutritious foods. Strongly Disagree Disagree Neutral Agree Strongly Agree I mostly eat foods that make my body perform efficiently (well). Strongly Disagree Disagree Neutral Agree Strongly Agree I mostly eat foods that give my body energy and stamina. Strongly Disagree Disagree Neutral Agree Strongly Agree Thank you!
