For each item, record the scale
number that best reflects
your current lifestyle.
0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
but fail, to lose weight and keep it off. _____
I feel out of control of my eating. _____
I eat when I'm not physically hungry. _____
I turn to food when stressed or upset. _____
I use food as a source of pleasure or reward.
I think a lot about food. _____
my weight loss efforts. _____
I binge eat or graze eat. _____
I feel ashamed of myself and my eating.
Food helps me deal with feelings. _____
TOTAL SCORE _________
- 10 No or little emotional eating:
Your weight management efforts should be relatively uncomplicated by emotional issues.
- 20 Mild emotional eating: You may
experience difficulty achieving weight management goals due to emotional obstacles.
- 30 Moderate emotional eating: You
will probably encounter emotional obstacles to healthy weight management and should consider counseling.
- 40 Severe emotional eating: Significant obstacles exist to healthy weight management, and counseling is strongly recommended.