Disordered Eating Self Assessment

 

The purpose of this questionnaire is to identify if you are experiencing symptoms of an eating disorder.

 

In the past two weeks:

• Have you tried to limit the amount or types of food you eat to influence your weight/shape?

 

• Does thinking about food, eating, weight or shape made it difficult to focus or engage in things you are interested in?

 

• Have you felt as if you’ve lost control over your eating?

 

• Do you have a fear of gaining weight?

 

• Have you tried to control your weight/shape via dieting/restriction, counting calories/weighing food, vomiting, exercising, using laxatives or diet pills?

 

• Are you or others around you concerned about your eating habits?

 

Answering YES to 1 or more statement indicates further assessment needed. Eating disorders are serious medical conditions that require treatment.

​

 

 

 

 

 

 

 

*Questionnaire derived from the EDE-Q,