Eating Disorders Diagnostic Scale

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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.

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