Eating Disorder Assessment - Change Clinic by Dr. Heba Abdelaziz

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Global Score

Normal should be equal or less than 1.737 (0932+0.805)

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Restraint Score

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Eating Concern Score

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Shape Concern Score

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Weight Concern Score

13. Over the past 28 days, how many times have you eaten what other people would regards as an unusually large amount of food (given the circumstances)?(Required)

14. On how many of these times did you have a sense of having lost control over your eating (at the time you were eating)?(Required)

15. Over the past 28 days, on how many DAYS have such episodes of overeating occurred (i.e. you have eaten an unusually large amount of food and have had a sense of loss of control at the time)?(Required)

16. Over the past 28 days, how many times have you made yourself sick (vomit) as a means of controlling your shape or weight?(Required)

17. Over the past 28 days, how many times have you taken laxatives as a means of controlling your shape or weight?(Required)

18. Over the past 28 days, how many times have you exercised in a “driven” or “compulsive” way as a means of controlling your weight, shape or amount of fat, or to burn off calories(Required)

What is your weight at present? (Please give your best estimate.)(Required)

What is your height? (Please give your best estimate.)(Required)

If so, how many?(Required)

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Eating Disorder

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