Relationship with Food Assessment

A gentle place to reflect on your relationship with food

This brief assessment is designed to help you better understand patterns related to food, body image, eating habits, and the stress these experiences may be creating in your life.

It is not a diagnosis. It is a starting point for reflection and, when helpful, a path toward compassionate support.

0
Never

1
Sometimes

2
Often

3
Almost always

Food thoughts, body image, and identity

These questions explore how much food and body image may be taking up mental and emotional space.

1. How often do thoughts about food, eating, calories, or your body take up a large part of your day?*

2. How much does your weight, shape, or appearance affect how you feel about yourself as a person?*

Rules, rigidity, and restriction

These questions look at food rules, anxiety around flexibility, and whether eating feels tightly controlled.

3. How often do you keep strict rules about what you should or should not eat?*

4. How upset or anxious do you feel when your food plan, routine, or exercise plan gets disrupted?*

5. How often do you feel like you need to “earn” food through exercise, eating less, or being extra careful earlier in the day?*

6. How often do you ignore hunger cues or delay eating even when your body is clearly asking for food?*

Emotional eating and loss of control

These questions explore whether eating sometimes feels driven by emotion, urgency, or loss of control.

7. How often do you feel out of control once you start eating?*

8. How often do you eat to cope with stress, anxiety, sadness, boredom, or loneliness, even when you are not physically hungry?*

9. How often do you eat past fullness to the point of physical discomfort?*

Shame, secrecy, and impact on life

These questions help identify whether food and body concerns are affecting your peace, relationships, or daily life.

10. How often do you feel guilt, shame, or disgust with yourself after eating?*

11. How often do you hide what you eat, eat in secret, or avoid letting others see your eating habits?*

12. How often do you avoid restaurants, social events, holidays, travel, or time with others because of food or body-related anxiety?*

Readiness for change

These questions help us understand how ready and supported you feel right now.

13. On a scale from 1 to 10, how important is it to you right now to change your relationship with food and your body?*

1 = Not important right now 5 10 = Very important

14. On a scale from 1 to 10, how confident are you that meaningful change is possible with the right support?*

1 = Not confident 5 10 = Very confident

This assessment is educational and reflective in nature. It does not diagnose eating disorders or replace medical or mental health care.

Please answer all 12 multiple-choice questions before viewing results.