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Nourishment & Food Relationship Assessment

This assessment is designed to help you gain clarity around your relationship with food—how you nourish your body, respond to hunger, and approach nutrition. It’s not about analyzing or judging your choices but about bringing awareness to patterns that may be shaping your energy, metabolism, and overall well-being.

 

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Question 1 of 14

First and Last Name

Question 2 of 14

Email

Question 3 of 14

How would you describe your overall relationship with food?

(Select all that apply)
A

Balanced and stress-free

B

Sometimes stressful or overwhelming, but mostly okay

C

A constant battle or source of guilt

D

I feel out of control around food

E

I overanalyze everything I eat

F

There is a lot of "Food Noise" in my head. I think about food all the time.

Question 4 of 14

Do you ever feel guilty after eating certain foods?

(Select all that apply)
A

No, I eat what I enjoy without guilt.

B

Occasionally, but I try not to dwell on it

C

Yes, I often regret eating certain foods.

Question 5 of 14

How do you typically respond when you eat something you consider “indulgent” or “unhealthy”?

(Select all that apply)
A

I move on and don’t stress about it.

B

I try to compensate by eating less or exercising more (whether it's before or after the fact, i.e. holidays or events).

C

I feel like I’ve failed and sometimes spiral into overeating

D

I avoid those foods completely to prevent guilt

Question 6 of 14

What most often determines when you eat? 

(Select all that apply)
A

Physical hunger

B

Boredom or habit

C

Stress or emotions

D

The clock (specific meal times)

E

Food availability (eating because it’s there)

F

Low blood sugar symptoms: intense sugar or carb cravings, shakiness, hangry, etc.

Question 7 of 14

How often do you eat past the point of comfortable fullness?

(Select all that apply)
A

Rarely or never

B

Occasionally, but I try to be mindful

C

Frequently, I struggle to stop when I’m full

D

Almost always, I don’t know when to stop

Question 8 of 14

Are you able to recognize the difference between true hunger and cravings?

(Select all that apply)
A

Yes, I can tell the difference easily

B

Sometimes, but I’m not always sure

C

No, I struggle to tell the difference

Question 9 of 14

Have you ever followed a strict diet or eliminated food groups? 

(Select all that apply)
A

Yes, and it helped me create a balanced lifestyle

B

Yes, but it made me overly obsessed with food

C

Yes, but it is due to food sensitivities or medical conditions (for example: celiac disease, gluten or dairy sensitivities or protocols like AIP diet, low FODMAP)

D

No, I eat intuitively without rules

E

I have a tendency to labels foods as "good" and "bad."

F

No, but I often feel like I should be dieting

G

I have followed diet plans put in place by medical professionals however it was something I couldn't sustain long term.

Question 10 of 14

Do you ever find yourself bouncing between strict eating and feeling out of control with food?

(Select all that apply)
A

No, I eat in a balanced way

B

Occasionally, but I’m working on it

C

Yes, I cycle between restriction and overeating (feeling disciplined and "locked in" then "falling off the wagon.")

Question 11 of 14

Do you avoid social situations because of anxiety about food choices?

(Select all that apply)
A

No, I enjoy social meals without stress

B

Sometimes, if I’m trying to eat a certain way

C

Yes, I worry about what’s available and how it fits into my plan

Question 12 of 14

Do you let hunger guide your eating, or do you follow external rules?

(Select all that apply)
A

I eat when I’m hungry and stop when I’m full

B

I stick to meal timing or portion guidelines

C

I sometimes ignore hunger to stay within calorie goals

D

I rely on tracking or meal plans rather than hunger cues

Question 13 of 14

What is your main focus when it comes to food and nutrition?

(Select all that apply)
A

Eating to fuel my body for energy and strength

B

Eating to manage health conditions (e.g., blood sugar, hormones)

C

Eating to support fat loss, body composition, and metabolic health.

D

Eating less to stay small or maintain a lower weight

Question 14 of 14

How do you feel about fueling your body for long-term health versus eating less to lose weight?

(Select all that apply)
A

I try to find a balance between fueling and maintaining weight

B

I focus on nourishing my body for strength and longevity

C

I still feel conditioned to prioritize eating less over everything else

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