Weight & Life Style Management

8 Step Program Food, Nutrition & Exercise Orientation Questionnaire (FNEQ)     

Provided by:   Dr. Stephen Byers - Clinical Psychologist     Denver, CO. 80206

 Directions:  Please circle one item listed after each question. Then go this  Scoring Key.

1. After finishing a meal someone at the meal asks you to have a second helping.  Would you
   1. Agree and have more
   2. Agree and eat only a little (not a full second helping)
   3. Disagree and decline to eat
2. Rate how important exercise is to you
   1. Not important
   2. Somewhat important
   3. Definitely important
   4. Very important
3. You head to the kitchen to get a snack.  Once there you have a choice of snacks.  You pick:
   1. High energy snack
   2. High calorie snack
   3. Don’t know the difference
4. Do you like high calorie meals or low calorie meals?
   1. High
   2. Low
5. Do you struggle to eat low calorie meals vs. high calorie meals?
   1. Yes
   2. No
   3. Sometimes
6. What percentage of the time during the week do you eat high calorie meals?
   1. 10-20
   2. 20-30
   3. 30-40
   4. 40-50
   5. 50-70
   6. 70-100
7. What percentage of the time during the week do you eat low calorie meals?
   1. 10-20
   2. 20-30
   3. 30-40
   4. 40-50
   5. 50-70
   6. 70-100
8. Do you think you have a good sense of when you are full?
   1. No
   2. Yes
   3. Somewhat
9. Do you ever think, “I am full but I am going to eat more”.
   1. No
   2. Yes
   3. Sometimes
10.  Do you like to flavor your foods with things like butter, salt, etc?
    1. No
    2. Yes
    3. Sometimes
11. Do you believe in diets/do diets work for you?
    1. No
    2. Yes
    3. Somewhat
12. Do you go ahead and exercise even if you feel tired?
    1. No
    2. Yes
    3. Sometimes
13. Do you ever eat more than you should because foods taste good?
    1. No
    2. Yes
    3. Sometimes
14. Suppose you decided that you are eating “too much” how much trouble do you think you would have in reducing the amounts you eat?
    1. A little trouble doing it
    2. Some trouble doing it
    3. Definitely trouble doing it
    4. No trouble at all doing it
    5. Don’t know about this
15. Think about a time you could have walked vs. driven you car.  Did you drive or walk?
    1. Drove
    2. Walked
16. How many times (on average) do you celebrate by eating certain foods?
    1. 25%
    2. 50%
    3. 75%
    4. 100%
17. Is a party still a party if there is not “good food” there?
    1. Yes
    2. No
    3. Don’t know about this
18. You are at a friend’s house and they offer you something to eat but you are full.  Do you
    1. Take the food
    2. Say no thanks to the offer
19. You are at building with an elevator and stairs.  You take the
    1. Elevator
    2. Stairs
20. You have decided to exercise but it’s the end of the day and you are tired.  Do you
    1. Go ahead and exercise
    2. Eat first then exercise
    3. Rest first then exercise
    4. Don’t exercise
21. Exercise is important to your lifestyle.
    1. Not at all important
    2. Somewhat important
    3. Important
    4. Very important
22. Do you eat more in the
    1. Morning
    2. Mid-day
    3. Afternoon
    4. Night
    5. Late night

                                                                        (Scoring Key)