1. When I’m eating, I feel like I’m losing control and I end up eating too much. |
3.6 |
2. I think about food most of the day. |
3.6 |
3. I eat sparingly in front of others, but then I make up for it when I’m alone. |
4 |
4. I have a habit of eating when distracted by the TV, cell phone, computer. |
3.6 |
5. I eat small amounts of food for several hours in a row (Pinch Habit). |
3.7 |
6. When I feel sad or anxious or idle I have a habit of compensating with food and overeating. |
3.7 |
7. I chew my food well and eat my meals calmly. |
3.6 |
8. I eat few times a day, but when I eat, I overdo it. |
3.6 |
9. I have difficulty in distinguishing between hunger and the desire to eat. |
3.9 |
10. I have crises of eating a lot until I am full. |
3.1 |
11. I have a habit of eating “fast food” (Snacks). |
3.8 |
12. I am a candy eater. |
3.5 |
13. When I feel the urge to eat, it is difficult to control myself. |
3.9 |
14. I intend to eat just a little, but when I see it, I eat a lot more than I want to. |
3.4 |
15. I notice that I eat more at night. |
3.9 |
16. I wake up in the early hours to eat something. |
3 |
17. When I go on a diet, I manage to stop eating some foods that I love, without any problem. |
3.3 |
18. My behavior towards food causes me a lot of suffering. |
3.9 |
19. When I have emotional problems, I use food to relieve tension or to bring me joy. |
3.9 |
20. When I feel like eating a treat, I eat without delaying and/or depriving myself. |
3.7 |
21. I have difficulty leaving food on the plate at the end of a meal. |
3.9 |
22. The next morning, after drinking, I wake up with a hangover (If you don’t drink, mark 0). |
3.6 |
23. I drink alcohol on weekends. |
3.1 |
24. I drink alcohol during the week. |
3.4 |
25. People tell me that I am drinking too much. (If you don’t drink, mark “never”). |
3.5 |
26. I am in the habit of using alcohol to relax and be happy. (If you don’t drink, mark “never”). |
3.9 |
27. After drinking alcohol, I missed or was late for an appointment the next day. (If you don’t drink, mark “never”). |
3.6 |
28. I don’t like going to social events that don’t have alcohol. |
3.9 |
29. I perform leisure activities. |
3.7 |
30. I stop going to social settings (parties, meetings,.) due to my physical appearance or health limitations. |
3.9 |
31. I believe I have problems with my work because of my weight. |
3.6 |
32. I feel pain in my body. |
3.6 |
33. I am satisfied with myself. |
3.4 |
34. I feel happy. |
3 |
35. I like the way I relate to people. |
3.6 |
36. I am satisfied with my sex life. |
3.5 |
37. I am satisfied with the support I receive from my friends/family. |
3.6 |
38. I have negative feelings, such as: bad mood, despair, anxiety and/or depression. |
3 |
39. I feel ashamed because of my weight. |
3.5 |
40. I have quality sleep. |
3.9 |
41. The physical environment (home or work) that I frequent is stressful (pollution, noise, traffic, arguing). |
3.4 |
42. Religion is part of my life and/or I have a higher belief. |
2.3 |
43. I find it difficult to perform my personal hygiene because of my weight. |
3.5 |
44. I avoid places until I know if there will be a place where I can sit. |
3.5 |
45. I believe I have quality of life. |
3.9 |
46. I perform physical activity. |
3.7 |
47. I find myself sulking and irritated for no reason. |
3.5 |
48. There are times when I sleep a lot and times when I sleep little. |
3 |
49. I believe I talk too much. |
3.1 |
50. There are days when I wake up extremely excited and on others I barely feel like getting out of bed. |
3.7 |
51. I feel very sad and/or unhappy. |
3 |
52. I believe that there is nothing to achieve in my future. |
3.1 |
53. I feel discouraged and hopeless. |
3.5 |
54. I believe that I am a disappointment to my family and/or friends. |
3.6 |
55. There are times when I feel like dying. |
3.6 |
56. I think about ending my life. |
3.3 |
57. There are times when I cry a lot. |
3.6 |
58. I have or have had some type of auditory hallucination (heard voices). |
2.7 |
59. I find myself much more interested in sex than usual. |
3.1 |
60. There are phases that I work too much and produce a lot, and in other phases I don’t feel like working, and my work doesn’t produce. |
3.5 |
61. I find that I get distracted or lose focus on what I’m doing very easily. |
3.4 |
62. I feel that there are people following me and/or watching me. |
3.1 |
63. I talk too much or speak much faster than normal. |
3.5 |
64. Standing still causes me anxiety. |
3.1 |
65. I have a feeling of regret for the things I do/say. |
3.5 |
66. I feel so nervous that I have shortness of breath. |
3.3 |
67. I have a tremor in my hands. |
2.9 |
68. I feel more nervous than other people, with some everyday situations. |
3.1 |
69. People say that I am anxious. |
3.9 |
70. I find it difficult to fall asleep because I feel very agitated and/or with rapid thoughts at night. |
3.6 |
71. I have bouts of tachycardia, despair and the feeling that I am going to die. |
3.6 |
72. I believe that I do things impulsively. |
3.9 |
73. I do and/or say things without thinking. |
3.5 |
74. I can focus on just one thing for a long time. |
3 |
75. I buy things on impulse, without really needing them. |
3.4 |
76. There are situations where I think I’m going to lose control and go after someone. |
3.4 |
77. I consider myself an optimistic person and I have positive thoughts. |
3.8 |
78. I have self-control. |
2.7 |
79. My family/friends are offended if I refuse any food. |
3.6 |
80. My family/friends insist that I eat more. |
3.5 |
81. In my family, people are in the habit of eating (includes meals, snacks and sweets) in front of the TV. |
3.6 |
82. I have family/friends support to facilitate my health care (e.g., taking care of children when I have an appointment, taking care of the house when I need help). |
4 |
83. My family has a healthy lifestyle (food and physical activity). |
3.7 |
84. I feel supported and valued as a person. |
3.9 |
85. I have people I can talk to or talk about issues related to my health, obesity and/or weight loss. |
4 |
86. My family members acquired a healthier lifestyle to help me with the weight loss process. |
3.5 |
87. I believe that the people who live with me would love me more if I were not obese. |
3.5 |
88. I believe I have people with whom I can vent or talk about issues related to my health, obesity and/or weight loss. |
3.7 |
89. I usually wait for things to work out over time. |
2.9 |
90. I panic when difficulties arise. |
2.9 |
91. To deal with difficulties, I make an action plan and try to apply it. |
3.1 |
92. I know what I have to do and I redouble my efforts to achieve it. |
3.4 |
93. I try to see the positive and/or make the best of situations. |
3.2 |
94. When I have problems/difficulties, I face the situation. |
3.3 |
95. I forget about my problems by denying and/or taking medication. |
3.4 |
96. When I have a problem, I feel guilty. |
2.9 |
97. When I have a problem, I distance myself from others. |
3.2 |
98. When I have a problem, I don’t do anything, because I think I won’t be able to solve it. |
3.1 |
99. I feel angry at the people who caused me a problem. |
3.4 |