|
EATING DISORDER SCREENING
Call (800)227-3953
Check the appropriate response for each of the following statements.
Please use the mouse to move from one question to the next.
Do not use the 'Enter' key or the form will be submitted prematurely.
Am
terrified about being overweight.
Avoid
eating when I'm hungry.
Find
myself preoccupied with food.
Have
gone on eating binges where I feel that I may not be able to stop.
Cut
my food into small pieces.
Aware
of the calorie content of the foods that I eat.
Particularly
avoid food with a high carbohydrate content (e.g., bread, rice, potatoes,
etc.)
Feel
that others would prefer if I ate more.
Vomit
after I eat.
Feel
extremely guilty after eating.
Am
preoccupied with a desire to be thinner.
Think
about burning up calories when I exercise.
Other
people think I'm too thin.
Am
preoccupied with the thought of having fat on my body.
Take
longer than others to eat my meals.
Avoid
foods with sugar in them.
Eat
diet foods.
Feel
that food controls my life.
Display
self control around food.
Feel
that others pressure me to eat.
Give
too much time and thought to food.
Feel
uncomfortable after eating sweets.
Engage
in dieting behavior.
Like
my stomach to be empty.
Have
the impulse to vomit after meals.
Enjoy
trying rich new foods.
The test results will be returned to you as a web page immediately after you submit the test.
The results WILL NOT be saved, e-mailed, or in any way be available to, or read by, anyone.
Click the "Finish" button to proceed to the results page.
Note: This is only a screening instrument and should not be used as the sole determinant of a problem. It is recommended that a complete evaluation, using other instruments,
be used and interpreted by a qualified professional.
|
Printer Friendly
Send To A Friend