The Three Factor Eating Questionnaire

First Name *

Last Name *

Date

Please read each statement and select from the multiple choice options the answer that indicates the frequency with which you find yourself feeling or experiencing what is being described in the statements below.

Write down the number corresponding to your choice in the right hand column. Total your score below.

Hungry

Only at meal times = 1Sometimes between meals = 2Often between meals = 3Almost always = 4

How often do you feel hungry

Only at meal times = 1Sometimes between meals = 2Often between meals = 3Almost always = 4

Stocking up

Almost never = 1Seldom = 2Moderately likely = 3Almost always = 4

How frequently do you avoid “stocking up” on tempting foods?

Almost never = 1Seldom = 2Moderately likely = 3Almost always = 4

Binges

Never = 1Rarely= 2Sometimes = 3At least once a week = 4

Do you go on eating binges though you are not hungry?

Never = 1Rarely= 2Sometimes = 3At least once a week = 4

On a scale of 1 to 8, where 1 means no restraint in eating (eating whatever you want, whenever you want it ) and 8 means total restraint (constantly limiting food intake and never “giving in”), what number would you give yourself?

Total Score =