Eating Habits & Well-Being Check-In 🧠🍽️
How often do you worry about your weight, body shape, or eating habits?*
Think about your day-to-day thoughts over the past few weeks.
Which of the following have you experienced recently?*
Choose all that apply based on your own experience.
In the past month, how often have you felt out of control while eating?*
This can include times when it felt hard to stop once you started.
What usually influences your eating choices the most?
Pick the one that feels most true for you right now.
How comfortable do you feel eating in front of other people?*
Your answer helps show whether social settings affect eating patterns.
Have you ever used any of the following to try to control your weight?*
Select all that apply.
If eating or body image concerns affect your daily life, how does that show up for you?
Share as much or as little as you’d like.
Would you be open to receiving support or resources related to eating concerns or body image?
This helps identify what kind of follow-up may be most helpful.
Thank you for taking a part in this survey.
