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EDE-Q 6.0
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Please enter your full name.
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Your answer
On how many of the past 28 days:
Have you been deliberately trying to limit the amount of food you eat to influence your shape or weight (whether or not you have succeeded)?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you gone for long periods of time (8 waking hours or more) without eating anything at all in order to influence your shape or weight?
*
No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you tried to exclude from your diet any foods that you like in order to influence your shape or weight (whether or not you have succeeded)?
*
No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you tried to follow definite rules regarding your eating (for example, a calorie limit) in order to influence your shape or weight (whether or not you have succeeded)?
*
No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you had a definite desire to have an empty stomach with the aim of influencing your shape or weight?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you had a definite desire to have a totally flat stomach?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Has thinking about food, eating or calories made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Has thinking about shape or weight made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)?
*
No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you had a definite fear of losing control over eating?
*
No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you had a definite fear that you might gain weight?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you felt fat?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Have you had a strong desire to lose weight?
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
Please fill in the appropriate number for the next 6 questions. Remember the questions only refer to the past 28 days.
Over the past 28 days, how many times have you eaten what other people would regards as an unusually large amount of food (given the circumstances)?
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Your answer
On how many of these times did you have a sense of having lost control over your eating (at the time you were eating)?
*
Your answer
Over the past 28 days, on how many DAYS have such episodes of overeating occurred (i.e. you have eaten an unusually large amount of food and have had a sense of loss of control at the time)?
*
Your answer
Over the past 28 days, how many times have you made yourself sick (vomit) as a means of controlling your shape or weight?
*
Your answer
Over the past 28 days, how many times have you taken laxatives as a means of controlling your shape or weight?
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Your answer
Over the past 28 days, how many times have you exercised in a “driven” or “compulsive” way as a means of controlling your weight, shape or amount of fat, or to burn off calories
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Your answer
For the next two questions, please note the term "binge eating" means eating what others would regard as an unusually large amount of food for the circumstances, accompanied by a sense of having lost control over eating.
Over the past 28 days, on how many days have you eaten in secret (ie, furtively)?......Do not count episodes of binge eating
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No days
1-5 days
6-12 days
13-15 days
16-22 days
23-27 days
Everyday
On what proportion of the times that you have eaten have you felt guilty (felt that you’ve done wrong) because of its effect on your shape or weight? ... Do not count episodes of binge eating.
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None of the times
A few of the times
Less than half
Half of the times
More than half
Most of the time
Every time
Answer the next questions indicating how you have felt in the lat 28 days
How concerned have you been about other people seeing you eat? (Do not count episodes of binge eating)
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Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
Has your weight influenced how you think about (judge) yourself as a person?
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Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
Has your shape influenced how you think about (judge) yourself as a person?
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Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
How much would it have upset you if you had been asked to weigh yourself once a week (no more, or less, often) for the next four weeks?
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Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
How dissatisfied have you been with your weight?
*
Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
How dissatisfied have you been with your shape?
*
Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
How uncomfortable have you felt seeing your body (for example, seeing your shape in the mirror, in a shop window reflection, while undressing or taking a bath or shower)?
*
Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
How uncomfortable have you felt about others seeing your shape or figure (for example, in communal changing rooms, when swimming, or wearing tight clothes)?
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Not at all
Not much
A little bit
Moderately
Quite a bit
Very much
Markedly
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