The Food Relationship Questionnaire

“What’s actually driving your struggle with food?” This is not a test. There are no wrong answers. Choose what feels most true right now.

Instructions

For each statement, rate how true it feels for you right now:

· 0 = Not true
· 1 = Sometimes true
· 2 = Very true

(Go with your gut. Don’t overthink it.)


Section 1: Worthiness & Permission

☐ I feel guilty when I eat foods I enjoy

☐ I feel like I have to earn food through discipline or exercise

☐ I judge myself for how much or what I eat

☐ I don’t fully trust myself around food

☐ I feel shame that food takes up so much mental space

Section total: ____

Section 2: Safety & Nervous System

☐ I eat when I’m stressed, overwhelmed, or exhausted

☐ I binge or overeat when the day slows down

☐ I know what to do, but I can’t make myself do it consistently

☐ Food helps me calm down or shut my brain off

☐ Willpower works until life gets hard

Section total: ____

Section 3: Rewriting Food Stories

☐ I hear old family rules or voices when I eat

☐ Certain foods still feel “bad,” even when I know better

☐ I’ve been dieting on and off most of my life

☐ I don’t know what “normal eating” looks like

☐ Health feels tied to my worth or morality

Section total: ____

Section 4: Body Trust & Interoception

☐ I don’t notice hunger until I’m starving

☐ I eat past fullness and don’t know why

☐ I rely on rules, plans, or tracking to guide my eating

☐ My body feels confusing or unreliable

☐ I feel disconnected from physical cues

Section total: ____

Section 5: Integration, Identity & Agency

☐ I’m exhausted thinking about food all the time

☐ I’ve “worked on this,” but still feel stuck

☐ I don’t know who I am without dieting or fixing

☐ I want food to feel neutral, not emotional

☐ I want peace—not another system

Section total: ____


Results: What Your Body Is Asking For

Your highest-scoring section points to your 

primary pillar

That’s where healing actually starts for you.

(You may resonate with more than one. That’s normal.)

If Section 1 is highest → 

Worthiness & Permission

Your struggle isn’t about food—it’s about believing you’re allowed to be nourished without earning it.

Starting point: Releasing shame, guilt, and self-punishment around eating.

If Section 2 is highest → 

Safety & Nervous System

Your eating patterns are coping strategies, not failures.

Starting point: Creating safety in your body so food doesn’t have to do all the work.

If Section 3 is highest → 

Rewriting Food Stories

You’re still living inside inherited beliefs that no longer serve you.

Starting point: Naming and rewriting the rules that were handed to you.

If Section 4 is highest → 

Body Trust & Interoception

Your body hasn’t been unreliable—you’ve just learned not to listen to it.

Starting point: Rebuilding internal awareness and trust.

If Section 5 is highest → 

Integration, Identity & Agency

You’re ready to move beyond “working on food” and into living your life.

Starting point: Integrating what you’ve learned and stepping into agency.


Final Note (this matters)

If you try to fix food before addressing the pillar you’re in, you’ll stay stuck—and blame yourself.

You’re not broken.

You’re just starting in the wrong place.

We can create a different path moving forward.