1. While dieting, do you feel deprived, angry and/or upset?

  1. Always

  2. Frequently

  3. Occasionally

  4. Rarely

  5. Never

Section 1—TOTAL Score _____

If you scored:

6 to 16:

This may not be a good time for you to start a weight loss program. Inadequate motivation and commitment together with unrealistic goals could block your progress. Think about those things that contribute to this, and consider changing them before undertaking a diet program.

17 to 23:

You may be close to being ready to begin a program but should think about ways to boost your preparedness before you begin.

24 to 30:

The path is clear with respect to goals and attitudes.

Section 2: Hunger and Eating Cues
  1. When food comes up in conversation or in something you read, do you want to eat even if you are not hungry?

    1. Never

    2. Rarely

    3. Occasionally

    4. Frequently

    5. Always

  1. How often do you eat because of physical hunger?

    1. Always

    2. Frequently

    3. Occasionally

    4. Rarely

    5. Never

  1. Do you have trouble controlling your eating when your favorite foods are around the house?

    1. Never

    2. Rarely

    3. Occasionally

    4. Frequently

    5. Always



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