Free 30-Minute Assessment Questionaire Eating Disorder

Guilt if don't exercise and/or exercise when tired, fatigued, sick or injured

Preoccupied with clean or healthy eating

Preoccupied with weight, food, calories, fat, carbs or dieting

Limit or cut out certain foods and/or skipping meals

Preoccupied with body size and shape

Frequent mirror checking, body checking, comparison to others

Changes in school and/or work performance, social activities, mood, sleep, weight and/or energy

Lack of control and/or not present when eating

Feelings of guilt, shame and disgust after overeating; eating in secret and/or hoarding food

Perception of one's body differs from others' perception

Vomiting, diet pills, laxatives and/or supplements

Fears of vomiting or choking

Rigidity with meal times and/or rules around food

30 Minute Assessment Questionnaire — Eating Disorder Treatment