sorry ive been gone so long

Age: __14___
Current Weight: ___127(ish)___
Highest weight (excluding pregnancy): __140___
Sex: __F___
Height: _5'3"____
Lowest Adult Weight: ___125___
Ideal Weight: ___90___



For each of the statements below, please choose one of the following six responses:

• Always
• Usually
• Often
• Sometimes
• Rarely
• Never

Questions

1. Am terrified about being overweight. always 
2. Avoid eating when I am hungry. usually
3. Find myself preoccupied with food. often
4. Have gone on eating binges where I feel that I may not be able to stop. sometimes
5. Cut my food into small pieces. often
6. Aware of the calorie content of foods that I eat. always
7. Particularly avoid food with a high carbohydrate content (i.e., bread, rice, potatoes, etc.). often
8. Feel that others would prefer if I ate more. usually
9. Vomit after I have eaten. never
10. Feel extremely guilty after eating. always
11. Am preoccupied with a desire to be thinner. always
12. Think about burning up calories when I exercise. always
13. Other people think that I am too thin. never
14. Am preoccupied with the thought of having fat on my body. always
15. Take longer than others to eat my meals. always
16. Avoid foods with sugar in them. usually
17. Eat diet foods. sometimes
18. Feel that food controls my life. usually
19. Display self-control around food. usually
20. Feel that others pressure me to eat. always
21. Give too much time and thought to food. always
22. Feel uncomfortable after eating sweets. always
23. Engage in dieting behavior. sometimes
24. Like my stomach to be empty. always
25. Have the impulse to vomit after meals. usually
26. Enjoy trying new rich foods.never

Behavioral Questions

In the past 6 months have you:
A) Gone on eating binges where you feel that you may not be able to stop (eating much more than most people would eat under the same circumstances)? If you answered yes, how often during the worst week? ________yes 2-3 days____________

B) Ever made yourself sick (vomited) to control your weight or shape? If you answered yes, how often during the worst week? __________i wish__________

C) Ever used laxatives, diet pills or diuretics (water pills) to control your weight or shape? If you answered yes, how often during the worst week? _________i wish___________

D) Ever been treated for an eating disorder? When? _____________no.______________