Foods that I crave, but do not allow myself to eat are:
Something Crunchy & Salty
Something Sweet
Something Hearty & Warm
Something Spicy
Something Soft & Smooth
Something Substantial & Filling

Correct!

Wrong!

My biggest forbidden food even if I am hungry is (pick one):
Candy
Popcorn
Salsa
Soup
Peanut Butter
Fried Chicken

Correct!

Wrong!

The food I am most likely to restrict is:
salty, crunchy snacks
sweet dessert
hot ethnic food
warm hearty meal
smooth creamy sauce
bbq

Correct!

Wrong!

 A food I can’t trust myself to eat is:
chocolate candy
spicy snacks
potato or corn chips
warm baked goods
nut butters
steak

Correct!

Wrong!

The kinds of foods I do not allow myself to eat are:
sweet foods, like cookies and candy
crunchy, salty foods, like chips, nuts, or popcorn
spicy foods, like chili or other peppery foods
warm foods, like fresh baked bread, oatmeal, and soups
smooth, soft foods, like guacamole, pudding, noodles
savory, substantial foods, like grilled burgers, sausages

Correct!

Wrong!

If I could restrict only one food, it would be:
roasted nuts
chocolate chip cookies
spicy chicken wings
noodle soup
ice cream
cheeseburgers

Correct!

Wrong!

The food I am least likely to eat when in a hurry is:
cookies
some guacamole dip
a crunchy nut bar
a warm croissant
spicy pickles
chicken wings

Correct!

Wrong!

The food I would feel most guilty about eating is:
chips & salsa
salted almonds
cake
warm bread with butter
soft cheese
Meat Lovers Pizza

Correct!

Wrong!

 I never eat (pick one):
chocolate
popcorn
cheese dip
salsa
soup
Ribs

Correct!

Wrong!

I make an effort to limit the number of ___________ I eat:
sweet foods
spicy foods
smooth, creamy
warm, comforting
crunchy, salty
savory, filling

Correct!

Wrong!

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