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Eating Disorder Screening Test

Most of us want to trim off a few unwanted pounds at some point in our lives and once we shed them, we are satisfied. But for some people, losing weight or keeping weight off becomes an obsession that can lead to irreversible health damage and even death.

Of the estimated 75 to 95 percent of people with anorexia or bulimia and an estimated 65 percent of those with binge-eating disorder are female. That being said, the number of men with eating disrders is steadily on the rise.

To receive a free eating disorder screening, please enter your information and complete the questionnaire below.

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

Please enter your contact information below if you would like to be contacted about your results and possble counseling.

Name:

Telephone:

Email:



Randi Fredricks   :::   1723 Hamilton Ave Suite D, San Jose, California, 95125   :::   408-315-0645

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This site does not provide medical advice, diagnosis, or treatment and is intended for informational purposes only. No therapeutic relationship is established by the use of this site. Randi Fredricks is a Marriage Family Therapist Intern IMF 56610 supervised by Mary Crocker Cook MFC 24835. Randi Fredricks is not licensed with the
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