NameID:_______________________________ Date: ___________ [607199]

Name/ID:_______________________________ Date: ___________
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NIGHT EATING QUESTIONNAIRE

Directions: Please circle ONE answer for each question.
1. How hungry are you usually in the morning?
0 1 2 3 4
Not at all A little Somewhat Moderately Very

2. When do you us ually eat for the first time?
0 1 2 3 4
Before 9am 9:01 to 12pm 12:01 to 3pm 3:01 to 6pm 6:01 or later

3. Do you have cravings or urges to eat sn acks after supper, but before bedtime?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely so

4. How much control do you have over your eating between supper and bedtime?
0 1 2 3 4
None at all A little Some Very much Complete

5. How much of your daily f ood intake do you consume after suppertime?
0 1 2 3 4
0% 1-25% 26-50% 51-75% 76-100%
(none) (up to a quarter) (a bout half) (more than half) (almost all)

6. Are you currently feeling blue or down in the dumps?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely

7. When you are feeling blue , is your mood lower in the:
0 1 2 3 4 ______check here if
Early Late Afternoon Early Late Even ing/ your mood does not
Morning Morning Evening Nighttime change during the day

8. How often do you have trouble getting to sleep?
0 1 2 3 4
Never Sometimes About ha lf Usually Always
the time

9. Other than only to use the bathroom, ho w often do you get up at least once in the
middle of the night?
0 1 2 3 4
Never Less than About once More than Every night
once a week a week once a week

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**************** IF 0 on #9, PLEASE STOP HERE ****************
10. Do you have cravings or urges to eat snacks when you wake up at night?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely so

11. Do you need to eat in order to get ba ck to sleep when you awake at night?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely so

12. When you get up in the middle of the night, how often do you snack?
0 1 2 3 4
Never Sometimes About half Usually Always
the time

**************** IF 0 on #12, PLEASE SKIP TO # 15 ****************

13. When you snack in the middle of the ni ght, how aware are you of your eating?
0 1 2 3 4
Not at all A little Somewhat Very much so Completely
14. How much control do you have over your eating while you are up at night?
0 1 2 3 4
None at all A little Some Very much Complete

15. How long have your current difficu lties with night eating been going on?
________ mos. _______ years

16. Is your night eating upsetting to you?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely

17. How much has your night ea ting affected your life?
0 1 2 3 4
Not at all A little Somewhat Very much so Extremely

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SCORING KEY FOR THE NIGHT EATING QUESTIONNAIRE(NEQ)

A. Items 1, 4 and 14 are reverse scored. Items 1-12 and 14 are summed.

B. Item 13 is not included in the total score, but is us ed to rule out the parasomnia, Nocturnal Sleep Related Eating
Disorder (NS-RED).

C. Item 15 is not added to the total score, but instead is used as a descriptor of the course of the symptoms.

D. Items 16 and 17 are used to confirm the presence of distress or impairment if NES is present.

A score of 25 or greater is suggestive of night eating syndrome, and a score of 30 and above is a strong indicator of
NES, but we suggest that the answers are reviewed with the patient in an interview before a firm diagnosis is made.
For example, many patients with night eating symptoms ove r-estimate their intake at night. Also, if patients are
depressed in the late evening and have trouble falling asleep , but only minimal night eating, this could inflate their
scores.
NEQ Citation: Allison, K. C., Stunkard , A. J., & Thier, S. L. (2004). Overcoming Night Eating Syndrome .
Oakland, CA: New Harbinger.