Counseling Center for Emotional Eating
Self-Test for Emotional Eating
Understanding Fattitudes
Self-Test for Emotional Eating
Counseling Services
Helpful Resources
Empowered Eating®
Book Information
Weight Loss Surgery Issues
Pre-Surgical Psychological Evaluation
Legal Mumbo Jumbo
  Adapted from the book
by Jeffrey and Norean Wilbert

For each item, record the scale number that best reflects your current lifestyle.


0 = Never

1 = Rarely

2 = Sometimes

3 = Often

4 = Almost Always


I try, but fail, to lose weight and keep it off.  _____

I feel out of control of my eating.  _____

I eat when I'm not physically hungry.  _____

I turn to food when stressed or upset.  _____

I use food as a source of pleasure or reward.  _____

I think a lot about food.  _____

I sabotage my weight loss efforts.  _____

I binge eat or graze eat.  _____

I feel ashamed of myself and my eating.  _____

Food helps me deal with feelings.  _____



TOTAL SCORE  _________




0 - 10  No or little emotional eating: Your weight management efforts should be relatively uncomplicated by emotional issues.


11 - 20  Mild emotional eating: You may experience difficulty achieving weight management goals due to emotional obstacles.


21 - 30  Moderate emotional eating: You will probably encounter emotional obstacles to healthy weight management and should consider counseling.


31 - 40  Severe emotional eating:  Significant obstacles exist to healthy weight management, and counseling is strongly recommended.



For further help, contact us . . .

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Jeffrey R. Wilbert, PhD & Associates
2717 Miamisburg-Centerville Road
Mad River Station, Suite 218
Dayton, OH 45459
(937) 435-1911 (phone)
(937) 435-9977 (fax)

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