Fill in this diary questionnaire as soon as possible after a slip:
Time: ________________
Were you physically hungry? Yes ___ No___
If you were, what did you crave specifically? _______________________________________________
__________________________________________________________________________________
Did this food remind you of certain people or places that you like? (vacation, summer, childhood, etc)?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
How did you feel just before you slipped? ______________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Were you “emotionally” hungry? Yes___ No___
If so, what would it have taken to satisfy you? _____________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Food eaten: Quality: __________________________________________________________________
___________________________________________________________________________________
Quantity: ___________________________________________________________________________
How did you eat the food: fast___ hiding from others___ slowly___
with gusto___ without thinking___
Did the food satisfy you? Yes___ No___
If not, why not? _______________________________________________________________________
____________________________________________________________________________________
How did you feel after your slip? _________________________________________________________
_____________________________________________________________________________________
Did you have any other reason to feel this way at the time? ____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Read More