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