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From the Inside Out Survey

Anonymous Survey on Food Behaviors & Weight Struggles

Hi there,  I need your help!  
I am asking for willing volunteers to participate in an anonymous survey about food issues and weight struggle.  I need ALL kinds of responses from every type of participant... whether or not you've ever struggled, personally, with any kind of food or weight issue.  Even your perceptions about weight and food struggles are important to my research.  
All I ask is that you only take the survey ONE time, and that you answer as honestly and completely as you're able.  Please be direct and forthcoming in your responses; Speak truthfully -- without fear or concern about "social norms" -- knowing that your responses are completely anonymous.  I will not know who answered what, or even who, specifically, participated in the survey.  So, go ahead... be brutally honest.  Just keep it clean, okay?  
Thank you for your time and assistance.
Thank you for agreeing to complete this survey!  Whether or not you have struggled with food issues, weight struggles, or eating disorders, your answers are very important to me.  Please try to answer as honestly as you can, and only answer for yourself, not for anyone else.  All responses are valid and will be included in my reports.
The results of this survey will be used for research for my book.  

All participation in this quiz should be completely voluntary and without expectation of compensation.

This survey includes 21 selectable-answer questions and one, optional "open comment" box.  Rest assured: your answers are completely anonymous and will only be disclosed in bulk data reports (percentages, graphs, etc.) with no personally-identifying remarks about individual participants.  Indeed, the way this survey is set up, I won't even know who has participated, I will only receive a report of all, combined responses upon completion.  Therefore, I ask you to please complete this survey only ONCE, so as not to skew my data. Thanks so much!

I hope you will take a moment to help me with this research for my book and to better assist me with my ministry to those struggling with food addiction.
2. Are you...? *This question is required.
4. Do you consider yourself to be...? *This question is required.
5. How long have you struggled with food/weight issues? *This question is required.
6. How often have you engaged in following food-dependent behaviors? (Remember, answers are anonymous): *This question is required.
Space Cell DailyWeekly1x or 2x a MonthSeasonally/TriggeredHaven't in more than 6 mos.Haven't in more than 1 yearDid when I was youngerTempted/Almost Did, but Didn'tNever Did
Overeat to the point of considerable discomfort
Overeat on "illegal" foods (sweets, fatty foods)
Overeat until physically sick
Binge on copious amounts of food
Stress Eat
Eat out of Anger, Depression, or other Emotion
Eat out of Boredom
Eat Because It's "Time to Eat" or Everyone Else Is Eating
Sneak/Eat Food in Secret
Sneak/Eat Food in Car
Hide "Forbidden" Foods to Eat in Secret
Rage-Eating (Violent)
Revenge-Eating (To get back at someone)
7. Whether or not you've ever been diagnosed, do you believe you have an eating disorder? *This question is required.
8. If Yes, Which One(s)?  (Please check all that apply) *This question is required.
9. Copy of How often have you engaged in the following food-avoidant behaviors? (Remember, answers are anonymous): *This question is required.
Space Cell DailyWeekly1x or 2x a MonthSeasonally/TriggeredHaven\'t in more than 6 mos.Haven\'t in more than 1 yearDid when I was youngerTempted/Almost Did, but Didn\'tNever Did
Obsessive Calorie Counting
Excessive Exercise (>3 hrs/day or >15 hrs./week)
Obsessive Regulation of Fat Intake
Obsessive Carb Counting
Adherence to "Calories In/Calories Out" Mentality
Use Food As a Reward
Withhold Food as Punishment
Using Exercise as "Penance" to Make Up for Eating Something "Bad"
Obsessive Weighing (more than 1x/day)
Obsessive Body-Measuring (more than 2x/week)
Employing Extensive "Off-Limits" Foods Lists
Forced Purging/Throwing Up to "Get Rid of" What You Ate
Using Laxatives, Stimulants, or other Meds to "Undo" Bad Eating
11. Do you believe God cares about your struggle with food/your weight? *This question is required.
12. How do you see obesity (overweight)?  (Choose all that apply) *This question is required.
13. Indicate which words/emotions you associate with food: (check all that apply) *This question is required.
14. How often do you think about eating, your weight, your size, or food in general?  (Choose all that apply) *This question is required.
15. Have you ever been...? (Check all that apply) *This question is required.
16. Are you a Christian who struggles with an Eating Disorder? *This question is required.
17. This question is specifically aimed at Christians: How do you feel your struggle is viewed/addressed within your Church or Christian Community? (Check all that apply) *This question is required.
19. Your personal opinion -- What role does nutritional education have in your struggle with food/weight? (Choose all that apply) *This question is required.
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