Self Evaluation Quiz
Why do you need me?
Our eating habits reflect the way we live. Please print this quiz and evaluate the following questions on a scale of one to five. Circle the most applicable answers using the point system:
1= Never
2=Seldom
3=Occasionally
4= Frequently or Moderately
5=Daily or Always
REMEMBER THAT WE ALL HAVE SITUATIONS WHERE WE EAT OR OTHERWISE PERFORM LESS WELL THAN WE WOULD
LIKE AND THAT TOTAL HONESTY WITHOUT JUDGMENT IS THE KEY TO SELF-KNOWLEDGE AND SELF-EMPOWERMENT.
HOW OFTEN DO I ….
1. eat hurriedly, on the run, or with tension rather than slowly, peacefully and quietly? 1 2 3 4 5
2. eat / overeat without actually tasting and enjoying my food because I'm preoccupied watching television, reading, on the phone or with some other activity? 1 2 3 4 5
3. feel uncomfortably full, sleepy or dull-witted because I didn't know I was full or didn't stop eating even
when I knew? 1 2 3 4 5
4. eat / overeat because people around me are eating, the food is beckoning me, or because it tastes so good
and I may never have another chance to get something as delicious? 1 2 3 4 5
5. eat /overeat as a reward, for fun or relaxation or when bored, restless, blocked or procrastinating? 1 2 3 4 5
6. eat / overeat for energy when I'm tired or thirsty rather than rest or drink water ? 1 2 3 4 5
7. eat /overeat for relief when under pressure, upset, overwhelmed, excited, sad, depressed or worried? 1 2 3 4 5
8. eat /overeat so I won't offend the person offering me the food? 1 2 3 4 5
9. crave chocolate, sugar, dairy, carbohydrates or salty, oily, crunchy food? 1 2 3 4 5
10. hoard favorite foods, sneak eat and/or binge? 1 2 3 4 5
Scoring Your Nourishment Index
I choose ___1s
I choose ___2s
I choose ___3s
I choose ___4s
I choose ___5s
If you choose only 1s and 2s: Great Going! You are listening to and honoring your physical and emotional needs.
If you choose any 3s and 4s: Consider giving more thought to how well you nourish yourself.
If you choose any 5s: You have patterns (and underlying self-esteem issues) that need direct attention.
Please consider working with them as soon as possible.
Are there specific times of day, or days of the week or month when you nourish yourself less well?
KEEP A JOURNAL TO HELP DETECT YOUR PATTERNS AND CHART YOUR PROGRESS.