Eating Disorder Screening Test

This Eating Disorder Test is not intended to be a diagnostic tool but instead is meant to give you and I a better idea as to the extent of your relationship with food and your behavior.

For each statement below, please indicate how often you feel that way.

Rate your answers as follows:

  (1) Sometimes
(2) Often
(3) Never - or I don't know

1. Do you have episodes of eating a large amount of food in a short time (bingeing)?
1 2 3
2. Do you induce vomiting to get rid of food you've eaten?
1 2 3
3. Are you terrified of gaining weight?
1 2 3
4. Do you use laxatives to control your weight or to get rid of food?
1 2 3
5. Do you have uncontrollable urges to eat and eat until physically ill?
1 2 3
6. Do you use fasting to control your weight?
1 2 3
7. Do you ever "spit out" food after chewing in order to prevent digestion?
1 2 3
8. Do you use diet pills to control your weight?
1 2 3
9. Do you use restricting calories to control your weight?
1 2 3
10. Do you ever use exercise to control your weight?
1 2 3
11. Are you unwilling to gain ten pounds in exchange for not bingeing/purging?
1 2 3
12. Do you use "fad" diets to control your weight?
1 2 3
13. Do you eat Salty "snack" foods (e.g., chips, pretzels, popcorn, etc.) during a "binge?"
1 2 3
14. Do you ever crave sugar?
1 2 3
15. Are you obsessed or preoccupied with what you are eating and with dieting?
1 2 3
16. Do you ever feel dizzy, giddy or light-headed?
1 2 3
17. Do you sometimes feel sleepy or drowsy after meals?
1 2 3
18. Do you feel hungry between meals?
1 2 3
19. Do you eat candy, drink soda or coffee between meals or in mid-afternoon?
1 2 3
20. Do you eat more high caloric food after 6:00PM than you do during the day?
1 2 3

Congratulations on completing this questionnaire. Enter your contact information below. I will contact you within the next day to discuss your results and the possibility of scheduling an appointment.

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Randi Fredricks, LMFT, CHT, RAS, CCN, CCH    ♦     1711 Hamilton Ave Suite A, San Jose, California, 95125     ♦     408-315-0645

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by the use of this site. Randi Fredricks is a Psychotherapist and Licensed as a Marriage Family Therapist MFC 47803 and not licensed with the California
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