
A
WEIGH OUT Self Test |

This questionnaire
identifies a range of
emotional eating and body image issues (May not work in some Netscape and Mozilla Browsers) |
How
Do These Statements
Pertain To You?
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1.
I feel comfortable with my body the way it is.
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2.
I find myself preoccupied with food thoughts or diet thoughts.
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3.
When I eat I feel out-of-control and distressed.
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4.
I use food (and thinking about food)
to avoid uncomfortable feelings
(i.e., I eat when I feel
lonely, or depressed, or nervous, or bored). |
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5.
I eat at the same pace as most people. |
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| 6.
I am preoccupied with a desire to be thinner. |
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7.
In an effort to prevent weight gain, I vomit, or I use laxatives, or I exercise
excessively, or I fast (no food for one day or more).
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8.
I have missed work, school or social events because of my weight or eating
habits.
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| 9.
I sneak food because I am embarrassed about how much (or what) I eat. |
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| 10.
I have stolen food, laxatives or diet pills from other people or from a
store. |
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| 11.
I feel guilty after I eat. |
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| 12.
I eat until I am uncomfortably full. |
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| 13.
If I weigh myself and I see that my weight is up, that can affect my mood
all day long. |
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| 14.
I believe, If I could just lose weight, I could be happy. |
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| 15.
Have you ever been diagnosed by a therapist or a doctor as having an eating
disorder, or depression, or anxiety, or an obsessive compulsive disorder,
or alcohol or drug addiction? |
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| 16.
Do you feel like you are currently struggling with an eating disorder, or
depression, or anxiety, or an obsessive compulsive disorder, or alcohol
or drug addiction? |
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| Send
email
with questions or comments about this self test. |