Eating Habits & Well-Being Check-In 🧠🍽️
In the past 3 months, how often have you been very concerned about your weight or body shape?*
Please choose the option that feels closest to your experience.
How often do you avoid eating certain foods because you feel anxious, guilty, or out of control around them?*
Think about foods you label as “bad,” “unsafe,” or hard to manage.
Which of the following eating-related experiences have you had recently?
Select all that apply.
How much do your eating habits affect your daily life?*
Consider your mood, focus, relationships, work, or school.
Have you used any of these behaviors to control your weight or shape?*
Please answer honestly based on recent or regular behavior.
What situations most often affect your eating patterns?
Share any triggers, routines, or environments that come to mind.
How supported do you feel when it comes to food, body image, or eating concerns?*
This could include support from friends, family, coworkers, or professionals.
If you have had concerns about your eating, what kind of help would feel most useful?
Choose all that apply.
Is there anything else you would like to share about your relationship with food, eating, or body image?
Only share what feels comfortable.
Thank you for taking a part in this survey.
