Featherweight Inc. Research Survey
Note: These questions were developed as a survey as part of our research program.  We would like to determine new Eating Disorder statistics for our local and surrounding areas. This is an anonymous quiz for all ages and is not intended to diagnose an eating disorder . It is simply designed to indicate that a person may be thinking too much about Body image, weight, etc or engaging in potentially eating disordered behaviors. The outcomes of this survey will  benefit our research toward body image statistics and increase eating disorder awareness in our surrounding areas . Please pass this questionnaire on to friends and family.


1. Am I terrified of being over weight 
              

2. I avoid eating when I am hungry


3. I have been on eating binges and I feel I may not be able to stop.


4. Particularly aviod foods with high carbohydrate and calorie content


5. I feel extremley guilty or uncorfortable after eating


6. I am preoccupied with a desire to be thinner or having fat on my body


7. I think about burning calories when I exercise


8. Other people think I am too thin or too heavy


9. I feel food controls my life


10. I use food to control emotions


11. I like my stomach to feel empty


12. I have had the urge to vomit after meals


13.Do you know what an Eating Disorder is 


14. Do you think you or someone you know may have an eating disorder?

*City
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AlwaysSometimesNever
malefemale
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YesNo
YesNoMaybe