Compared with previous attempts, how motivated to lose weight are you this time?
Score 1 for not at all, 2 slightly, 3 somewhat, 4 quite, 5 extremely
How certain are you that you will stay committed to a weight loss program for the time it will take to reach your goal?
Score 1 for cannot, 2 can somewhat, 3 uncertain, 4 can tolerate well, 5 can easily
Consider all outside stress in your life (work, family obligations, etc.) To what extent can you tolerate the effort required to stick to a diet?
Score 1 for very unrealistic, 2 somewhat unrealistic, 3 moderately unrealistic, 4 somewhat realistic, 5 very realistic
Think honestly about how much weight you hope to lose and how quickly you hope to lose it. Figuring a weight loss of .5kg to 1 Kg per week, how realistic is your expectation?
Scored 3 to 6 - Try to control the attitudes that occasionally make you overeat
Scored 7 to 9 - Dieting will be easier if you try to resist external cues and eat only when you are physically hungry.
CONTROL OVEREATING:
Although you planned to skip lunch, you are talked into going out to eat.
You go off your diet by eating a fattening, forbidden food.
After faithfully following your diet you decide to test yourself by eating a “treat.”
Scored 3 to 7 - You recover rapidly from mistakes, but should get professional help if you often alternate between strict dieting and eating out of control
Score 8 to 11 - You have a flexible, balanced program that is not disrupted by unplanned eating
Score 12 to 15 - Your reaction to problem-causing eating events can be improved.
BINGING AND PURGING:
Have you ever eaten lots of food rapidly and felt the eating was excessive and out of control?
Score 2 for yes, 0 for no.
If yes, how often over the past year?
Score 1 for less than once a month, 2 about once a month, 3 a few times a month, 4 about once a week, 5 about 3 times a week, 6 daily:
Have you ever purged to control your weight by using laxatives, diuretics, or induced vomiting?
Score 5 for yes, 0 for no.
If yes, how often during the past year?
Score 1 for less than once a month, 2 about once a month, 3 a few times a month, 4 about once a week, 5 about 3 times a week, 6 daily:
Scored 0 to 1 - Binge eating and purging are not your problem
Scored 2 to 11 - Get professional help if these eating patterns arise more often
Scored 12 to 19 – Your potentially serious eating problem needs immediate professional attention.
EMOTIONAL EATING
For each of the next three questions, score 1 never, 2 rarely, 3 occasionally, 4 frequently, 5 always.
Do you overeat when you feel anxious, depressed, angry or lonely?
Do you celebrate feeling good by overeating?
When things don’t go well with others or on your job, do you eat more than you would like?
Scored 3 to 8 - You don’t seem to let emotions affect your eating
Scored 9 to 11 - Monitor your occasional tendency to eat in response to emotional highs and lows and find alternative activities
Scored 12 to 15 - You need to find other ways than eating express your feelings.