amount of food you eat to influence your weight or 0 1 2 3 shape (whether or not you have succeeded)?
2. Have you gone for long periods of time
(e.g., 8 or more waking hours) without eating anything 0 1 2 3 at all in order to influence your weight or shape?
3. Has thinking about food, eating or calories
made it very difficult to concentrate on things you 0 1 2 3 are interested in (such as working, following a conversation or reading)?
4. Has thinking about your weight or shape made
it very difficult to concentrate on things you are 0 1 2 3 interested in (such as working, following a conversation or reading)?
5. Have you had a definite fear that you might 0 1 2 3
gain weight?
6. Have you had a strong desire to lose weight? 0 1 2 3
7. Have you tried to control your weight or shape
by making yourself sick (vomit) or taking laxatives? 0 1 2 3
8. Have you exercised in a driven or compulsive
way as a means of controlling your weight, shape 0 1 2 3 or body fat, or to burn off calories?
9. Have you had a sense of having lost control 0 1 2 3
over your eating (at the time that you were eating)?
10. On how many of these days ( i.e. days on which
you had a sense of having lost control over your 0 1 2 3 eating) did you eat what other people would regard as an unusually large amount of food in one go?
OVER THE PAST 7 DAYS … Not at all Slightly Moderately Markedly
11. Has your weight or shape influenced how you 0 1 2 3
think about (judge) yourself as a person?
12. How dissatisfied have you been with your weight 0 1 2 3