|
Never |
Once per month |
2-4 times per month |
2-3 times per week |
4+ times per week |
1) I find myself consuming certain foods even though I am no longer hungry. |
|
|
|
|
|
2) I worry about cutting down on certain foods. |
|
|
|
|
|
3) I feel sluggish of fatigued from overeating. |
|
|
|
|
|
4) I have spent time dealing with negative feelings from overeating certain foods, instead of spending time in important activities such as time with family, friends, work, or recreation. |
|
|
|
|
|
5) I have had physical withdrawal symptoms such as agitation and anxiety when I cut down on certain foods. (Do NOT include caffeinated drinks: coffee, tea, cola, energy drinks, etc.) |
|
|
|
|
|
6) My behavior with respect to food and eating causes me significant distress. |
|
|
|
|
|
7) Issues related to food and eating decrease my ability to function effectively (daily routine, job/school, social or family activities, health difficulties). |
|
|
|
|
|