Eating Disorders Questionnaire

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Eating Disorders Questionnaire

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Demographics

I am:

Male Female

Age:

1. I think a lot about the calorie content of foods that I eat.

Never Occasionally Often Always

2. I think about food most of the time, more than most other people.

Never Occasionally Often Always

3. I think about burning up calories when I exercise.

Never Occasionally Often Always

4. I am very fearful of being overweight.

Never Occasionally Often Always

5. I am preoccupied with a desire to be thinner.

Never Occasionally Often Always

6. I feel that food controls my life.

Never Occasionally Often Always

7. I feel that others would prefer if I ate more.

Never Occasionally Often Always

8. I feel extremely guilty after eating.

Never Occasionally Often Always

9. I feel disgusted, depressed or guilty after eating.

Never Occasionally Often Always

10. I am preoccupied with the thought of having fat on my body.

Never Occasionally Often Always

11. I feel uncomfortable after eating sweets.

Never Occasionally Often Always

12. I like my stomach to be empty.

Never Occasionally Often Always

13. I feel that others pressure me to eat.

Never Occasionally Often Always

14. I feel I can't control what or how much I eat.

Never Occasionally Often Always

15. Other people think that I am too thin.

Never Occasionally Often Always

16. My weight is very important to how I feel about myself as a person compared to other aspects of my life.

Never Occasionally Often Always

17. I take longer than others to eat my meals.

Never Occasionally Often Always

18. I cut my food into very small pieces.

Never Occasionally Often Always

19. I eat what most people think is an unusually large amount of food at one time.

Never Occasionally Often Always

20. I eat alone because I am embarrassed about how much I eat.

Never Occasionally Often Always

21. I go on eating binges where I feel that I may not be able to stop.

Never Occasionally Often Always

22. I avoid foods with carbohydrates or sugar in them (bread, potatoes, sweets).

Never Occasionally Often Always

23. I avoid eating, even when I am hungry.

Never Occasionally Often Always

24. I fast for more than 24 hours specifically to avoid gaining weight after eating too much.

Never Occasionally Often Always

25. I make myself vomit after I have eaten.

Never Occasionally Often Always

26. I am on a diet or limiting how much I eat in order to lose weight.

Never Occasionally Often Always

27. I take more than twice the recommended amount of laxatives, diuretics or diet pills to avoid gaining weight.

Never Occasionally Often Always

28. I have lost 20 lbs or more and then gained it back.

Never Occasionally Often Always