Peterborough County, ON

Screening Tool: Eating Disorders

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This survey is designed to provide a quick assessment of whether you might have an eating disorder. Eating disorders include anorexia, bulimia and others. However, no test is 100% accurate. No matter what your score is, you should seek help if you have any concerns about yourself or your loved ones.

The self-assessment used here is the Eating Disorders Screen for Primary Care (ESP).

Are you satisfied with your eating patterns?

	Yes
	No

Do you ever eat in secret?

	Yes
	No

Does your weight affect the way you feel about yourself?

	Yes
	No

Have any members of your family suffered with an eating disorder?

	Yes
	No

Do you currently suffer with or have you ever suffered in the past with an eating disorder?

	Yes
	No

For more information about this survey

Cotton MA, Ball C, Robinson P: Four Simple Questions Can Help Screen for Eating Disorders, J. Gen. Intern. Med. 2003 January; 18(1):53-56. Retrieved Dec 8, 2008 from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1494802