Eating Disorder Questionaire

1

During the past month, have you:Been preoccupied with your weight and/or the shape of your body?

YESNO

2

During the past month, have you:Avoided eating certain foods due to fearing that something bad could happen to you?

YESNO

3

During the past month, have you:Felt out of control over the amount of food you ate one or more times in a week?

YESNO

4

During the past month, have you:Worried frequently about the nutritional content of different foods?

YESNO

5

During the past month, have you:Felt intensely disgusted or anxious when looking at your body or seeing it in a mirror?

YESNO

6

During the past month, have you:Frequently avoided eating because of disliking the taste, smell, or texture of foods?

YESNO

7

During the past month, have you:Felt guilty or upset after eating an unusually large amount of food one or more times a week?

YESNO

8

During the past month, have you: Intentionally made yourself vomit or exercise excessively to prevent gaining weight?

YESNO

9

During the past month, have you:Been consistently anxious when eating food or drinking liquids?

YESNO

10

During the past month, have you:Felt a need to check the appearance of your body often throughout the day?

YESNO