Penn State Worry Questionnaire
Please take a moment to complete this questionnaire.
I prefer to respond anonymously:
Name
Email

This questionnaire is not designed to provide a definitive psychological diagnosis or to take the place of a professional consultation. Please answer all questions as accurately and honestly as possible.


EAT-26 Eating Attitudes Test

Use this questionnaire to to help you determine if you might need to see a mental health professional for diagnosis and treatment of anorexia, bulimia, or another eating disorder.

Instructions:

This is a screening measure to help you determine whether you might have an eating disorder that needs professional attention. This screening measure is not designed to make a diagnosis of an eating disorder or take the place of a professional diagnosis or consultation. Please take the time to fill out the below form as accurately, honestly and completely as possible. All of your responses are confidential.


1. I am terrified about being overweight.
           
2. I avoid eating when I am hungry.
           
3. I Find myself preoccupied with food.
           
4. I have gone on eating binges where I feel that I may not be able to stop.
           
5. I cut my food into small pieces.
           
6. I am aware of the calorie content of foods that I eat.
           
7. I particularly avoid food with a high carbohydrate content (i.e. bread, rice, potatoes, etc.)
           
8. I feel that others would prefer if I ate more.
           
9. I vomit after I have eaten.
           
10. I feel extremely guilty after eating.
           
11. I am preoccupied with a desire to be thinner.
           
12. I think about burning up calories when I exercise.
           
13. Other people think that I am too thin.
           
14. I am preoccupied with the thought of having fat on my body.
           
15. I take longer than others to eat my meals.
           
16. I avoid foods with sugar in them.
           
17. I eat diet foods.
           
18. I feel that food controls my life.
           
19. I display self-control around food.
           
20. I feel that others pressure me to eat.
           
21. I give too much time and thought to food.
           
22. I feel uncomfortable after eating sweets.
           
23. I engage in dieting behavior.
           
24. I like my stomach to be empty.
           
25. I have the impulse to vomit after meals.
           
26. I enjoy trying rich new foods.
           
Behavioural Questions: In the past 6 months have you:
A. Gone on eating binges where you feel that you may not be able to stop?*

*Defined as eating much more than most people would under the same circumstances and feeling that eating is out of control.








B. Ever made yourself sick (vomited) to control your weight or shape?






C. Ever used laxatives, diet pills or diuretics (water pills) to control your weight or shape?






D. Exercised more than 60 minutes a day to lose or to control your weight?






E. Lost 20 pounds or more in the past 6 months


F. Have you ever been treated for an eating disorder?