Eating Disorders and Do You Have One

Please check if all fields are filled in correctly!

Do you fear gaining weight? *

Always  

Sometimes  

Never  

Do you restrict your food consumption even when hungry? *

Always  

Sometimes  

Never  

Do you often think about food? *

Always  

Sometimes  

Never  

Do you count your calories? *

Always  

Sometimes  

Never  

Do you feel guilty after eating? *

Always  

Sometimes  

Never  

What meals do you have on your average day? *

Breakfast  

Brunch/Luncheon  

Lunch  

Dinner  

Supper  

How many calories do you consume daily? *

Would you consider yourself educated in the subject of eating disorders? *

Yes  

No  

I don't know