Eating Disorder Questionnaire

1. Do you find yourself spending too much time thinking about food, body image and/or caloric intake?*

2. Do you feel guilty after you eat? *

3. Do you think you are fat, even though people tell you you're thin?*

4. Do you exercise to burn off calories and not for enjoyment? *

5. Do you ever feel out of control when you are eating? *

6. Do you ever make yourself vomit after consuming food? *

7. Do you weigh yourself more than once a day or after meals? *

8. Do you ever abuse laxatives, diuretics and/or diet pills? *

9. What is your gender?*

10. What age range do you fall under*

11. Which of our locations is closest to you?*

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