This is a screening measure to help you determine whether you might have an eating disorder that needs professional attention. This screening measure is not designed to make a diagnosis of an eating disorder or take the place of a professional consultation. Please fill out the form below as accurately, honestly and completely as possible. There are no right or wrong answers. All of your responses are confidential.
Part A: Check a response for each of the following statements:
Part B: Behavioral Questions:
In the past 6 months have you: