Mealtime Environment and Routine	Mealtime Routine May Differ from Family to Family. For Each One of the Questions Following, Please Select the Answer that Best Suits Your Child and Your Family.
1. We eat at the table	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
2. We eat at least one meal a day all of us together (or almost all of us)	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
3. We eat at almost the same time every day	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
4. I encourage my child to help at meal preparation	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
5. I or other family members eat with the child	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
6. My child eats the same food with the rest of the family	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
7. My child eats at almost the same time every day	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
8. My child eats the same amount of meals every day	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
9. My child eats autonomously (without an adult’s help)	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
10. My child sits at the table during the meal	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
11. My child watches TV while eating	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
12. My child brings toys (books, tablets, etc.) at the table during the meal	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
13. My child decides how much he/she is going to eat at every meal	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
14. My child decides when he/she is going to eat every meal	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
15. My child decides what he/she is going to eat from the food I have served	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
16. My child informs me or conveys to me that he/she is hungry	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
17. My child informs me or conveys it when he/she is full	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
18. I decide when it is time for my child to eat food	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
19. I decide when it is time for my child to eat a snack	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
20. I decide which food my child is going to eat	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
21. I decide which snacks my child is going to eat	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
22. We eat at the table	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
23. We eat at least one meal a day all of us together (or almost all of us)	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always
24. We eat at almost the same time every day	☐ Never	☐ Rarely	☐ Sometimes	☐ Often	☐ Always