| My friends or family (whichever best applies): |
| 1. Compliment me on healthy eating. |
True/False |
| 2. Refuse to eat in a healthy manner. |
True/False |
| 3. Notice when my behavior changes in significantly positive ways. |
True/False |
| 4. Insist on taking me to fast-food restaurants and buffets. |
True/False |
| 5. Compliment me on my appearance. |
True/False |
| 6. Push foods that are a problem for me. |
True/False |
| 7. Help me purchase and prepare healthy meals. |
True/False |
| 8. Protest changes in the family diet. |
True/False |
| 9. Help me overcome temptations to eat. |
True/False |
| 10. Make fun of my efforts to lose weight. |
True/False |
| 11. Offer to exercise with me. |
True/False |
|
| 12. Complain about the time I spend exercising. |
True/False |
| 13. Give me encouragement to exercise and stick with it. |
True/False |
| 14. Buy and bring home low-response cost foods that are not good for me. |
True/False |
| 15. Rearrange their schedules to exercise with me. |
True/False |
| 16. Don't want me to exercise, or don't support my efforts. |
True/False |
| 17. Talk to me about exercise in a positive manner. |
True/False |
| 18. Schedule activities that interfere with my exercise time. |
True/False |
| 19. Provide helpful information about nutrition, exercise, and health. |
True/False |
| 20. Eat fattening foods in front of me. |
True/False |