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Made by Steinar

Quiz

We're glad you're here and we would like to help you.
To begin, if you feel comfortable, let's start with your name.
If not, just click next.
First Name
First

Hi , We're going to ask you a few very simple yes or no questions to understand where you are on your journey.
Please read the statement below and choose the answer which describes your experience.
It's important to be as honest as you can here. You're the only one who will see your answers.
U = Unplanned Use:
In the past year, have I ever eaten food/sweets, more than I meant to or have I spent more time eating and using sweets than I intended to?*
- Yes
- No

N = Neglected:
Have I ever neglected some of my usual daily responsibilities because of using sweets and/or overeating?
- Yes
- No

C = Cutdown:
Have I felt that I wanted or needed to cut down on eating/sweets in the last year?*
- Yes
- No

O = Objected:
Has anyone objected to my overeating/eating sweets or, has my family, a friend, or anyone else ever told me they objected to my eating habits?*
- Yes
- No

P = Preoccupied:
Have I ever found myself being preoccupied with wanting food/ sweets or have I found yourself thinking a lot about sweets/food?*
- Yes
- No

E = Emotional discomfort:
Have I ever used sweets/food to relieve emotional discomfort, such as fatigue, sadness, anger, tiredness or boredom etc?*
- Yes
- No

Thank you for taking time to complete the quiz.
When you click the submit button below, you will be taken to your answers.
If you would like us to contact you to talk about your next steps, please include you last name and email address.
Name
Last
Email

Quiz

We're glad you're here and we would like to help you.
To begin, if you feel comfortable, let's start with your name.
If not, just click next.
First Name
First

Hi , We're going to ask you a few very simple yes or no questions to understand where you are on your journey.
Please read the statement below and choose the answer which describes your experience.
It's important to be as honest as you can here. You're the only one who will see your answers.
U = Unplanned Use:
In the past year, have I ever eaten food/sweets, more than I meant to or have I spent more time eating and using sweets than I intended to?*
- Yes
- No

N = Neglected:
Have I ever neglected some of my usual daily responsibilities because of using sweets and/or overeating?
- Yes
- No

C = Cutdown:
Have I felt that I wanted or needed to cut down on eating/sweets in the last year?*
- Yes
- No

O = Objected:
Has anyone objected to my overeating/eating sweets or, has my family, a friend, or anyone else ever told me they objected to my eating habits?*
- Yes
- No

P = Preoccupied:
Have I ever found myself being preoccupied with wanting food/ sweets or have I found yourself thinking a lot about sweets/food?*
- Yes
- No

E = Emotional discomfort:
Have I ever used sweets/food to relieve emotional discomfort, such as fatigue, sadness, anger, tiredness or boredom etc?*
- Yes
- No

Thank you for taking time to complete the quiz.
When you click the submit button below, you will be taken to your answers.
If you would like us to contact you to talk about your next steps, please include you last name and email address.
Name
Last
Email

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