Scribd
Upload
315 views

Eating Disorders Diagnostic Scale

This document appears to be a screening questionnaire for eating disorders. It contains 22 questions assessing behaviors and attitudes related to eating, weight, and shape over the past 3 months. Respondents are asked to rate items on scales from 0 to 6 to indicate how much each statement applied to them, with higher numbers indicating greater applicability. Questions probe for binge eating, purging, fasting, feelings of fatness, and influence of weight and shape on self-judgment. Scoring procedures refer to a published study on evaluating results.

Uploaded by

Abegail (Abby) Miranda
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
315 views

Eating Disorders Diagnostic Scale

This document appears to be a screening questionnaire for eating disorders. It contains 22 questions assessing behaviors and attitudes related to eating, weight, and shape over the past 3 months. Respondents are asked to rate items on scales from 0 to 6 to indicate how much each statement applied to them, with higher numbers indicating greater applicability. Questions probe for binge eating, purging, fasting, feelings of fatness, and influence of weight and shape on self-judgment. Scoring procedures refer to a published study on evaluating results.

Uploaded by

Abegail (Abby) Miranda
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

EATING SCREEN

Please carefully complete all questions.

Over the past 3 months… Not at all Slightly Moderately Extremely


1. Have you felt fat?. . . . . . . . . . . . . . . . . . . 0 1 2 3 4 5 6
2. Have you had a definite fear that you
might gain weight or become fat?. . . . . . . . . . 0 1 2 3 4 5 6
3. Has your weight influenced how you think
about (judge) yourself as a person?. . . . . . . . . 0 1 2 3 4 5 6
4. Has your shape influenced how you think
about (judge) yourself as a person?. . . . . . . . . 0 1 2 3 4 5 6

5. During the past 6 months have there been times when you felt you have eaten what other people would regard as an
unusually large amount of food (e.g., a quart of ice cream) given the circumstances? . . . . . . . . YES NO

6. During the times when you ate an unusually large amount of food, did you experience a loss
of control (feel you couldn't stop eating or control what or how much you were eating)? . . . . . YES NO

7. How many DAYS per week on average over the past 6 MONTHS have you eaten an unusually large amount of food
and experienced a loss of control? 0 1 2 3 4 5 6 7

8. How many TIMES per week on average over the past 3 MONTHS have you eaten an unusually large amount of food
and experienced a loss of control? 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

During these episodes of overeating and loss of control did you…

9. Eat much more rapidly than normal?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO

10. Eat until you felt uncomfortably full?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO

11. Eat large amounts of food when you didn't feel physically hungry?. . . . . . . . . . . . . YES NO

12. Eat alone because you were embarrassed by how much you were eating?. . . . . . . . YES NO

13. Feel disgusted with yourself, depressed, or very guilty after overeating?. . . . . . . . . YES NO

14. Feel very upset about your uncontrollable overeating or resulting weight gain?. . . YES NO

15. How many times per week on average over the past 3 months have you made yourself vomit to prevent weight gain
or counteract the effects of eating? 0 1 2 3 4 5 6 7 8 9
10 11 12 13 14

16. How many times per week on average over the past 3 months have you used laxatives or diuretics to prevent weight
gain or counteract the effects of eating? 0 1 2 3 4 5 6 7 8 9
10 11 12 13 14

17. How many times per week on average over the past 3 months have you fasted (skipped at least 2 meals in a row) to
prevent weight gain or counteract the effects of eating? 0 1 2 3 4 5 6 7
8 9 10 11 12 13 14

18. How many times per week on average over the past 3 months have you engaged in excessive exercise specifically to
counteract the effects of overeating episodes? 0 1 2 3 4 5 6 7 8
9 10 11 12 13 14

19. How much do you weigh? If uncertain, please give your best estimate. lbs.
20. How tall are you? _Please specify in inches (5 ft.= 60 in.)___ in.
21. Over the past 3 months, how many menstrual periods have you missed? 0 1 2 3 n/a
22. Have you been taking birth control pills during the past 3 months?. . . . . . . . . . . . . YES NO

SCORING:
Please refer to Stice, E., Fisher, M., & Martinez, E. (2004) for scoring procedures.

You might also like