Anxiety and Stress Questionnaire

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1. Do you sleep poorly?
2. Do you think stress makes you over eat?
3. What gives you comfort when you are stressed?
4. Do you have loss of control with food?
5. Do you lack time to exercise?
6. Do you lack time to care for yourself?
7. Do you lack time to prepare healthy meals?
8. Do you feel unmotivated?
9. Do you have low self esteem?
10. Are your emotions flat and/or sad?
11. Do you lack support and help?
12. Do you always put others first?
13. Do you eat to cope with unhappy relationships?
14. Is healthy food too expensive for your budget?