UC Irvine Health Education Center - Eating Disorder Assessment

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Eating Disorder Assessment

For yourself or someone you know, please rate the following questions:

I feel proud of my thinness.

Often

Sometimes

Rarely

Never

I weigh myself often.

Often

Sometimes

Rarely

Never

I have fasted.

Often

Sometimes

Rarely

Never

I fear becoming fat.

Often

Sometimes

Rarely

Never

I feel fat, even though friends and family say I'm not.

Often

Sometimes

Rarely

Never

I feel the need to exercise every day.

Often

Sometimes

Rarely

Never

I enjoy preparing meals for others but eat little myself.

Often

Sometimes

Rarely

Never

I've eaten in binges. (A lot at one time very quickly)

Often

Sometimes

Rarely

Never

I like and anticipate eating alone.

Often

Sometimes

Rarely

Never

I eat even when I'm not hungry.

Often

Sometimes

Rarely

Never

I eat sensibly in front of others but not when I'm alone.

Often

Sometimes

Rarely

Never

I've made repeated attempts to diet or restrict my eating.

Often

Sometimes

Rarely

Never

I feel self-conscious or embarrassed about my eating behaviors.

Often

Sometimes

Rarely

Never

I sneak food when no one's around.

Often

Sometimes

Rarely

Never

I have lied about the amount of food I eat.

Often

Sometimes

Rarely

Never

I have vomited/made myself vomit after eating or binge-eating.

Often

Sometimes

Rarely

Never

I have used laxative, diet pills, appetite suppressants or diuretics to control my weight.

Often

Sometimes

Rarely

Never

I panic if I gain a couple of pounds.

Often

Sometimes

Rarely

Never

I think about food frequently, deciding to eat or not eat.

Often

Sometimes

Rarely

Never

I feel out of control when eating or binge-eating.

Often

Sometimes

Rarely

Never

I often feel depressed or anxious after eating.

Often

Sometimes

Rarely

Never

I eat more when I'm upset or under stress.

Often

Sometimes

Rarely

Never

This assessment is provided by www.aplaceofhope.com

	Contact Us	UCI Health Education Center G319 Student Center Irvine, CA 92697-6125 Phone: 949-824-9355
Produced by the Health Education Center, A Division of Student Affairs Copyright © 2005 UC Regents