Child Feeding Questionaire Lampiran
Child Feeding Questionaire Lampiran
Lampiran 3
CFQ-revised 10/30/98
39
INSTRUCTIONS:
Using the scale below, please circle one number for each question which best corresponds to
your answer. Please answer about your child who is in our study.
half of most
never seldom time of time always
Using the scale below, please indicate how you would classify your own weight at each of
these 4 time periods listed below (Please circle ONLY ONE number for each time period)
underweight
underweigh
overweight
overweigh
markedly
markedly
average
t
t
4. Your Childhood (5 to 10 years old) 1 2 3 4 5
5. Your Adolescence 1 2 3 4 5
6. Your 20's 1 2 3 4 5
7. Currently 1 2 3 4 5
CFQ-revised 10/30/98
39
Using the scale below, please indicate how you would classify
your child=s weight at each of these 4 time periods listed below.
(Please circle ONLY ONE number for each time period)
underweight
underweigh
overweight
overweigh
markedly
markedly
average
t
t
8. Your child during the first year of life 1 2 3 4 5
Using the scale below, please circle one number for each question which best corresponds to
your answer. Please answer about your child who is in our study.
unconcerned
unconcerne
concerned
concerne
slightly
slightly
neutral
d
CFQ-revised 10/30/98
39
INSTRUCTIONS:
Using the scale below, please circle one number for each question which best corresponds to
your answer. Please answer about your child who is in our study.
disagree
slightly
slightly
neutral
disagre
agree
agre
e
e
17. I have to be sure that my child does not
eat too many sweets (candy, ice cream, 1 2 3 4 5
cake or pastries).
18. I have to be sure that my child does not
1 2 3 4 5
eat too many high fat foods.
19. I have to be sure that my child does not
1 2 3 4 5
eat too much of her favorite foods.
20. I intentionally keep some foods out of my
1 2 3 4 5
child=s reach.
21. I offer sweets (candy, ice cream, cake,
pastries) to my child as a reward for 1 2 3 4 5
good behavior.
22. I offer my child her favorite foods in
1 2 3 4 5
exchange for good behavior.
23. If I did not guide or regulate my child=s
eating, she would eat too many junk 1 2 3 4 5
foods.
24. If I did not guide or regulate my child=s
eating, she would eat too much of her 1 2 3 4 5
favorite foods.
25. My child should always eat all of the
1 2 3 4 5
food on her plate.
26. I have to be especially careful to make
1 2 3 4 5
sure my child eats enough.
27. If my child says AI=m not hungry,@ I try to
1 2 3 4 5
get her to eat anyway.
28. If I did not guide or regulate my child=s
eating, she would eat much less than she 1 2 3 4 5
should.
CFQ-revised 10/30/98
39
INSTRUCTIONS:
Using the scale below, please circle one number for each question which best corresponds to
your answer. Please answer about your child who is in our study.
CFQ-revised 10/30/98