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.