|How Do These Statements|
Pertain To You?
|1. I feel comfortable with my body the way it is.|
|2. I find myself preoccupied with food thoughts or diet thoughts.|
|3. When I eat I feel out-of-control and distressed.|
|4. I use food (and thinking about food)|
to avoid uncomfortable feelings
(i.e., I eat when I feel
lonely, or depressed, or nervous, or bored).
|5. I eat at the same pace as most people.|
|6. I am preoccupied with a desire to be thinner.|
|7. In an effort to prevent weight gain, I vomit, or I use laxatives, or I exercise|
excessively, or I fast (no food for one day or more).
|8. I have missed work, school or social events because of my weight or eating|
|9. I sneak food because I am embarrassed about how much (or what) I eat.|
|10. I have stolen food, laxatives or diet pills from other people or from a|
|11. I feel guilty after I eat.|
|12. I eat until I am uncomfortably full.|
|13. If I weigh myself and I see that my weight is up, that can affect my mood|
all day long.
|14. I believe, “If I could just lose weight, I could be happy”.|
|15. Have you ever been diagnosed by a therapist or a doctor as having an eating|
disorder, or depression, or anxiety, or an obsessive compulsive disorder,
or alcohol or drug addiction?
|16. Do you feel like you are currently struggling with an eating disorder, or|
depression, or anxiety, or an obsessive compulsive disorder, or alcohol
or drug addiction?