Eating Habits Self Assessment
Are you unable to stop bingeing and purging even though you want to quit?
Yes
No
Eating Habits Self Assessment
Are you very concerned about your weight?
Yes
No
Eating Habits Self Assessment
Do you dislike yourself or the way you look?
Yes
No
Eating Habits Self Assessment
Do you feel fat even though others think you are thin?
Yes
No
Eating Habits Self Assessment
Do you feel that you can never eat normally?
Yes
No
Eating Habits Self Assessment
Do you find yourself thinking about food constantly?
Yes
No
Eating Habits Self Assessment
Do you frequently experience weight gain and loss?
Yes
No
Eating Habits Self Assessment
Do you frequently try new diets and/or exercise plans?
Yes
No
Eating Habits Self Assessment
Do you hide food?
Yes
No
Eating Habits Self Assessment
Do you often avoid physical or sexual contact?
Yes
No
Eating Habits Self Assessment
Do you often eat even when you are not hungry?
Yes
No
Eating Habits Self Assessment
Do you tend to eat very quickly without being aware of how much you have eaten?
Yes
No
Eating Habits Self Assessment
Do you wear baggy clothes to hide weight loss, or tight clothes to show off weight loss?
Yes
No
Eating Habits Self Assessment
Has the frequency of your vomiting and/or purging increased?
Yes
No
Eating Habits Self Assessment
Have other people made concerned comments about your eating habits?
Yes
No
Eating Habits Self Assessment
Have you ever induced vomiting to prevent weight gain?
Yes
No
Eating Habits Self Assessment
Have you used laxatives or diuretics to prevent weight gain?
Yes
No
Eating Habits Self Assessment
How often do you become angry when interrupted while eating?
Yes
No
Eating Habits Self Assessment
How often do you eat in secret?
Yes
No
Eating Habits Self Assessment
How often do you feel guilty about eating?
Yes
No
Eating Habits Self Assessment
How often do you feel self-conscious about eating in social situations?
Yes
No
Eating Habits Self Assessment
How often do you lie to others about how much or how little you eat?
Yes
No
Eating Habits Self Assessment
How often do you try to skip meals or avoid eating for the entire day?
Yes
No
Eating Habits Self Assessment
How often do you withdraw from friends and avoid social situations?
Yes
No
Eating Habits Self Assessment
Is it difficult for you to concentrate because you are thinking about food?
Yes
No
Eating Habits Self Assessment
How often do you find yourself feeling out of control when eating?
Yes
No
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