Eating Disorder Screen
Do you worry about my shape and weight.
What does “out of control” look like?
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How would you feel if you gained 3 lbs?
What is your level of distress
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When was the last time you were on a diet?
Rapid eating
Feel uncomfortably full after eating
Eat when not hungry
Embarrassed at the amount eaten
Fatigue / depression / feeling guilty
Not at all
A little
Moderately
Greatly
Extremely
In the past three months have you?
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Purged
Used laxatives
Exercised excessively
Restricted
Compared to other things in my life, how important is your weight?
Restricting under 1200 calories to influence weight
Do you ever feel fat?
Previous / current treatment for an eating disorder
Height / weight: BMI
How many times have you felt your eating was out of control?
Sleep
Coping Skills