1. Do you eat when
you’re not hungry? |
YES
|
NO
|
2. Do you go on
eating binges for no apparent reason? |
|
|
3. Do you have
feelings of guilt and remorse after eating? |
|
|
4. Do you give too
much time and thought to food? |
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|
5. Do you look
forward with pleasure and anticipation to the moments when you can eat
alone? |
|
|
6. Do you plan these
secret binges ahead of time? |
|
|
7. Do you eat
sensibly before others and make up for it alone? |
|
|
8. Is your weight
affecting the way you live your life? |
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|
9. Have you tried to
“diet” for a week (or longer), only to fall short of your goal
repeatedly? |
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|
10. Do you resent the
advice of others who tell you to “use a little will power” to stop
overeating? |
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|
11. Despite evidence
to the contrary, have you continued to assert that you could diet “on
your own” when ever you wish? |
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|
12. Do you crave to
eat at a definite time, day or night, other than mealtime? (Typically
high fat, high sugar, and carbohydrate foods, NOT broccoli!!) |
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|
13. Do you
consistently eat to escape from worries or trouble or to make yourself
feel better? |
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|
14. Has your
physician ever treated you for overweight and you find that consistently
you have not been successful? |
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|
15. Do you think
that food is controlling you? Are you sometimes obsessed
with the thoughts of food? |
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16. Does your
obsessive relationship with food make you or others unhappy?
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