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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.
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.
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.
*Defined as eating much more than most people would under the same circumstances and feeling that eating is out of control.
Complete the following boxes to generate a shortlist of relevant CBT therapist from our team.
Acceptance and Commitment Therapy
Child & Adolescent CBT
Cognitive Behavioural Therapy
Dialectical Behaviour Therapy
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