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Hello:

You are invited to answer Section VI: My Relationship With Food of the Personal Factor Inventory. In this section there are 31 questions. It will take approximately 7 minutes to complete this section.

Your participation in answering the Personal Factor Inventory is completely voluntary. There are no foreseeable risks associated with answering these questions. However, if you feel uncomfortable answering any questions, you can stop answering the questions at any point.

Your responses will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the Personal Factor Inventory or the procedures, you may contact Vicki Tambellini by email at [email protected].

Thank you very much for your time and support. Please start with the My Relationship with Food Section now by clicking on the Continue button below.

 
 
 
My Relationship with Food – How I Eat
 
 
 
601. I am unhappy with the way I eat.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
602. I use food as a comfort because it is familiar, readily available and reliable.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
603. I become hungry all of a sudden.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
604. I eat when I’m not hungry.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
605. I go on eating binges for no reason.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
606. I eat more than I need to.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
607. I crave the same foods.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
608. Food is on my mind.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
609. I feel that I am never ‘finished’ eating.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
610. I look forward to eating when I am alone because I’m embarrassed to eat in front of other people.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
612. I plan secret binges ahead of time.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
613. I eat sensibly in front of others and erratically when alone.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
614. I have tried to diet for a week or longer, only to fall short of my goal.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
615. Despite repeated failures, I continue to believe that I can diet on my own, whenever I choose.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
616. After eating, I feel satisfied.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
617. After eating, I feel guilty.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
618. Eating takes my mind off my problems, comforts me and helps me to feel less stress.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
619. I have tried to control my weight by throwing up, using laxatives or exercising more than one hour per day.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
620. I keep eating after I feel full.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
621. I feel tired after eating my lunch.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
622. I recognize standard serving sizes as defined by the food industry. For example, a single serving of meat is about the size of a deck of cards.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
623. I eat rapidly.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
624. I eat before going to someone’s house for a meal because I am afraid of being hungry or not liking the food that they serve.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
625. When I’m hungry, I eat wherever I can – often not at the table, or in inappropriate places.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
626. When cooking or cleaning up, I sample food as I go.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
627. I over eat at large gatherings or celebrations.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
628. I overeat when I feel strong emotions, such as being angry, out of control, anxious, worried or stressed.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
 
 
629. I crave: (check all that apply)
 
High fat foods
 
High sugar foods
 
I don’t have cravings
 
Other
 

 
 
 
630. I wake up during the night and eat.
 
Yes
 
No
 
 
 
631. In order to control how much I eat, I chew food and spit it out.
 
Never
 
Rarely
 
Sometimes
 
Often
 
Always
 
Please contact [email protected] if you have any questions regarding Section VI of the Personal Factor Inventory.
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