Terri L. Gerber, LICSW

1. How often do you think about losing weight?

_____ Never

_____Sometimes

_____Everyday

_____All the time

2. Have you ever vomited to lose weight? _____

Used laxatives to lose weight? _____

Used diuretics to lose weight? _____

Exercised everyday to lose weight? _____

Fasted to lose weight? _____

3. Do friends and family "bother" you about your weight? Yes /  No

4. Do you avoid eating with others? Yes / No

5. Do you feel guilty after you’ve eaten? Yes /  No

6. Do you feel out of control around food? Yes /  No

7. Have you recently lost or gained 10-15 pounds over a short period of time? Yes /  No

8. Do you feel like you have to hide the real you? Yes /  No

9. Are you frequently upset by the way you look? Yes /  No

1. People suffering from eating disorders think about their weight throughout the day. They feel preoccupied with food and weight.

2. Vomiting, laxative, excessive exercise and fasting are not healthy approaches to weight loss and are often associated with an eating disorder.

3. Friends and family may feel concerned and frustrated with your decreasing body weight. You may feel like you are locked in a power struggle with them.

4. Binge eating alone and eating very little or not at all around others is a warning sign.

5. Feeling guilty about eating almost anything becomes a chronic concern.

6. Eventually victims feel out of control about food and life.

7. Frequent weight gains or weight losses only lead to more frustration.

8. People with eating disorders withdraw from friends and family and work out elaborate plans to hide their actions and feelings.

9. Spending more time examining your looks and standing on the scale lead to feelings of depression and anxiety.