Eating Self-Assessment Tool

How do I know if I have an eating disorder?

Name*

Email Address*

Your Location*

Telephone Number*

Do you eat only “safe” foods, low in calories and fat?*
YesNo

Have you developed rituals with food, such as cutting food into small pieces or measuring food?*
YesNo

Do you spend more time playing with food than eating it?*
YesNo

Have you felt the need to exercise excessively, after or before eating?*
YesNo

Do you dress in layers to hide weight loss or weight gain?*
YesNo

Have you been spending less time with family and friends?*
YesNo

Do your eating habits interrupt your daily functioning, eg. eating out with friends, or attending a social function?*
YesNo

Do you spend a lot of time thinking and planning what you can eat?*
YesNo

Do you make trips to the bathroom after meals?*
YesNo

Do you take laxatives/diuretics after a meal?*
YesNo

Are you eating more rapidly than other people?*
YesNo

Have you ever stolen or hoarded food?*
YesNo

Do you perceive yourself as fat however others say otherwise?*
YesNo

Is your self-confidence based on your weight?*
YesNo

Do you weigh yourself constantly?*
YesNo

Do you feel guilty after you have eaten?*
YesNo

Is your BMI (Body Mass Index) lower than 18? BMI= (weight) divided by (height squared)*
YesNo

If you answered yes to 3 or more of these questions, we recommend that you check 'Yes' so that we may call/email you with further assistance. Alternatively, call us on 0861 4357 87.

Yes, please email meYes, please call meNo thank you

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