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NUTRITION ASSESSMENTS:

YOUR VALUES AND EATING HABITS

Most of us have strong feelings about food. Recognizing these feelings and values can help you understand some of your values that affect your eating habits. There are no right or wrong answers.

Indicate how you feel about the following statements by circling a number from 1 to 5, with 1 meaning that you strongly agree with the statement and 5 meaning that you strongly disagree.

 

 strongly
agree
     

 strongly disagree
 1. I like to eat.

1 

 2

 3

 4
  5
 2. The food I eat affects my appearance.

1 

 2

 3

 4
  5
 3. I like trying new and unusual foods.

1 

 2

 3

 4
  5
 4. I think thin is beautiful.

1 

 2

 3

 4
  5
 5. I am willing to cut down on foods that are not good for me.

1 

 2

 3

 4
  5
 6. I usually consider nutrition when I choose foods.

1 

 2

 3

 4
  5
 7. I eat more when I am bored, frustrated, unhappy or angry.

1 

 2

 3

 4
  5
 8. I would like to lose weight.

1 

 2

 3

 4
  5
 9. It doesn't matter what a girl eats now, she can make up for it when she becomes pregnant.

1 

 2

 3

 4
  5
 10. I prefer eating alone.

1 

 2

 3

 4
  5
 11. I feel a fat baby is a healthy baby.

1 

 2

 3

 4
  5
 12. I like homemade foods better than food in restaurants.

1 

 2

 3

 4
  5
 13. I think expectant fathers should help the woman eat well during pregnancy.

1 

 2

 3

 4
  5
 14. I think women eat better when they become pregnant.

1 

 2

 3

 4
  5
 15. I like to reward myself with foods.

1 

 2

 3

 4
  5

Evaluation Tools Page

ENTRY DATE:: January 1999

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