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Binge Eating Disorder Questionnaire

Binge Eating Disorder Questionnaireedcare2023-11-14T09:09:33-07:00

Binge Eating Disorder Questionnaire

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

1. I feel very self-conscious about my weight. Frequently I feel intense shame and disgust for myself. I try to avoid social contacts because of my self-consciousness.*

Yes

2. At times, I tend to eat quickly. Then I feel uncomfortably full afterwards.*

Yes

3. Almost all the time I experience strong guilt or self-hate when I overeat.*

Yes

4. I have a regular habit of starting strict diets for myself, but I break the diets by going on a eating binge. My life seems to be either a “feast” or “famine.*

Yes

5. I eat so much food that I regularly feel uncomfortable after eating and sometimes nauseous.*

Yes

6. I feel incapable of controlling urges to eat. I have a fear of not being able to stop voluntarily.*

Yes

7. Frequently, I eat only a small amount of food when others are present because I’m very embarrassed about my eating.*

Yes

8. Occasionally, I feel uncertain about knowing whether or not I’m physically hungry. At these times it’s hard to know how much food it should take to satisfy me.*

Yes

9. What is your gender?*

Male

Female

Non-binary

10. What age range do you fall under*

Under 18

Ages 18-24

Ages 25-34

Ages 35-44

Age 45-54

Ages 55+