Eating Disorder Survey

I have skipped meals in response to comments about my weight.*
How much more or less do you feel you worry about your weight and body shape than other people your age?*
How afraid are you of gaining weight?*
When was the last time you went on a diet?*
How often do you binge eat in response to stress and/or life's pressures?*
How often do you purposely consume less calories than you know is healthy in order to influence your shape or weight?*
I become angry when others show interest in what I eat and pressure me to eat more.*
Do you label certain foods as "safe" to eat and other foods as "bad" to avoid?*
If you have struggled with an eating disorder, what were some things you experienced? Were you diagnosed with an eating disorder? If so, what? If you haven't been diagnosed with a disorder, do you think you might have one? Please discuss anything you are willing to share about your relationship with food? This section is not required but if you choose to answer, we can keep your answers anonymous.
If you are willing to be interviewed further and used as a source in a school news article, please include your name. This is not required.
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If you are willing to be interviewed as a source for an article about eating disorders in teens, please leave your email address. This is not required.

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Eating Disorder Survey

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