Eating Habits & Well-Being Check-In 🧠🍽️
In the past 3 months, how often have you been very concerned about your weight or body shape?*
This helps understand how often body image concerns have been on your mind.
How often do you skip meals on purpose to influence your weight or shape?*
Please think about your usual behavior, not special occasions or schedule issues.
Which of the following eating-related experiences have you had recently?
Select all that apply if they have happened in the past 3 months.
How much do eating habits or body image concerns affect your daily life?*
Think about school, work, relationships, mood, or focus.
What situations most often affect your eating habits or feelings about food?
Share anything that tends to trigger stress, restriction, overeating, or food worries.
Have you ever used any of the following to control your weight after eating?
Choose the option that best fits your experience.
How supported do you feel when it comes to talking about food, body image, or eating concerns?*
This can include support from friends, family, coworkers, or health professionals.
What kind of support or resources would be most helpful for you right now?
A short answer is fine.
Would you like to be contacted with support options or follow-up resources?
Only answer if follow-up is part of this survey process.
Thank you for taking a part in this survey.
