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ED Quiz for Clients

If you are concerned you may have an eating disorder, one of the first steps is the willingness to be honest about what you are experiencing. The questions below are not designed to be ultimately conclusive nor do they take the place of a professional consultation or diagnosis. We encourage you to answer these questions as honestly as possible and schedule a consultation to get information and understanding. Eating disorders are serious illnesses with potentially life threatening consequences.

TIER ONE – please mark yes to those that apply to you:
1. I vomit to reduce calories eaten or lose weight.
Yes No
2. I take laxatives to reduce calories eaten or lose weight.
Yes No
3. I exercise rigorously, about 60 min/day, to lose weight or reduce calories.
Yes No
4. I use diuretics daily (coffee, pills) to lose weight or reduce calories.
Yes No
5. I daily use, and sometimes overuse, diet pills.
Yes No
6. I regularly restrict calories, often below 1200 calories per day.
Yes No
7. I binge, overeat, or stress eat, almost daily.
Yes No
8. My body mass index is 25 or over (http://www.nhlbisupport.com/bmi/).
Yes No
9. My body mass index is 18 or under (http://www.nhlbisupport.com/bmi/).
Yes No
10. I am preoccupied with food, weight and appearance such that it impacts my ability to work, focus, socialize and/or participate in normal living.
Yes No
Number of questions you answered YES:

If you answered YES to any ONE of these questions, you are at serious risk for an eating disorder. It is important that you reach out for help. Care and support is available, please call us at 858.353.5378 or email at Jessica@healingwithinreach.com

TIER TWO – please mark yes to those that apply to you:
1. I use laxatives/diuretics during the week or month to control weight.
Yes No
2. I workout mainly to burn calories and am anxious/guilty if I miss one.
Yes No
3. I am terrified of being overweight.
Yes No
4. I find myself frequently preoccupied with food and my appearance.
Yes No
5. I sometimes eat to the point of discomfort and am unsure if I can stop.
Yes No
6. I feel extremely guilty or regretful after eating.
Yes No
7. I am preoccupied with being thinner and with having fat on my body.
Yes No
8. I feel that food has significant control over my life and choices.
Yes No
9. I engage frequently in diets/dieting behavior.
Yes No
10. I’m tense when others show interest in what I eat/pressure me to eat more.
Yes No
11. No one “gets it” about my fears with food/weight, so I stay quiet.
Yes No
12. I believe that I am overweight, even when others say I am too thin.
Yes No
13. I have the urge to vomit after I eat.
Yes No
14. Certain foods are “okay” to eat (i.e.diet food, fat-free food, vegetables).
Yes No
15. Certain foods are “bad” (sweets, carbs, pizza).
Yes No
16. I don’t have a regular period.
Yes No
17. I prefer to eat alone or when no one can see me.
Yes No
18. I make excuses to avoid shared meals.
Yes No
19. I frequently compare my body or appearance to others.
Yes No
20. I feel not good enough, particularly about my body or appearance.
Yes No
Number of questions you answered YES:

If you answered YES to 4 or more questions, you may be struggling with an eating disorder. If you answered yes to 8 or more, you may have an eating disorder. It is important that you seek professional attention. Should you be interested in a consultation, please call us at 858.353.2386 or email to Kristine@healingwithinreach.com