EAT 26 - Janice VanAnrooy, MA, LPC

EAT 26

Please fill out the form below as accurately, honestly and completely as possible. There are no right or wrong answers.

Name *

First

Last

The Body Mass Index (BMI) is of limited utility, especially for very short and very tall people.
Enter your height and weight if you would like to have your BMI calculated.

Weight (lbs)

Height

1. I am terrified about being overweight.

Always
Usually
Often
Sometimes
Rarely
Never

2. I avoid eating when I am hungry.

Always
Usually
Often
Sometimes
Rarely
Never

3. I find myself preoccupied with food.

Always
Usually
Often
Sometimes
Rarely
Never

4. I have gone on eating binges where I feel that I may not be able to stop.

Always
Usually
Often
Sometimes
Rarely
Never

5. I cut my food into small pieces.

Always
Usually
Often
Sometimes
Rarely
Never

6. I aware of the calorie content of foods that I eat.

Always
Usually
Often
Sometimes
Rarely
Never

7. I particularly avoid food with a high carbohydrate content (i.e. bread, rice, potatoes, etc.)

Always
Usually
Often
Sometimes
Rarely
Never

8. I feel that others would prefer if I ate more.

Always
Usually
Often
Sometimes
Rarely
Never

9. I vomit after I have eaten.

Always
Usually
Often
Sometimes
Rarely
Never

10. I feel extremely guilty after eating.

Always
Usually
Often
Sometimes
Rarely
Never

11. I am occupied with a desire to be thinner.

Always
Usually
Often
Sometimes
Rarely
Never

12. I think about burning up calories when I exercise.

Always
Usually
Often
Sometimes
Rarely
Never

13. I other people think that I am too thin.

Always
Usually
Often
Sometimes
Rarely
Never

14. I am preoccupied with the thought of having fat on my body.

Always
Usually
Often
Sometimes
Rarely
Never

15. I take longer than others to eat my meals.

Always
Usually
Often
Sometimes
Rarely
Never

16. I avoid foods with sugar in them.

Always
Usually
Often
Sometimes
Rarely
Never

17. I eat diet foods.

Always
Usually
Often
Sometimes
Rarely
Never

18. I feel that food controls my life.

Always
Usually
Often
Sometimes
Rarely
Never

19. I display self-control around food.

Always
Usually
Often
Sometimes
Rarely
Never

20. I feel that others pressure me to eat.

Always
Usually
Often
Sometimes
Rarely
Never

21. I give too much time and thought to food.

Always
Usually
Often
Sometimes
Rarely
Never

22. I feel uncomfortable after eating sweets.

Always
Usually
Often
Sometimes
Rarely
Never

23. I engage in dieting behavior.

Always
Usually
Often
Sometimes
Rarely
Never

24. I like my stomach to be empty.

Always
Usually
Often
Sometimes
Rarely
Never

25. I have the impulse to vomit after meals.

Always
Usually
Often
Sometimes
Rarely
Never

26. I enjoy trying new rich foods.

Always
Usually
Often
Sometimes
Rarely
Never

This section reflects on your own behaviors, this will give a more accurate reading to help you and your answers above for a healthier regiment.

A. Gone on eating binges where you feel that you may not be able to stop?

Never
Once per month or less
2-3 times per month
Once a week
2-6 timer per week
Once a day or more

(Defined as eating much more than most people would under the same circumstances and feeling that eating is out of control.)

B. Ever made yourself sick (vomited) to control your weight or shape?

Never
Once per month or less
2-3 times per month
Once a week
2-6 timer per week
Once a day or more

C. Ever used laxatives, diet pills or diuretics (water pills) to control your weight or shape?

Never
Once per month or less
2-3 times per month
Once a week
2-6 timer per week
Once a day or more

D. Exercised more than 60 minutes a day to lose or to control your weight?

Never
Once per month or less
2-3 times per month
Once a week
2-6 timer per week
Once a day or more

E. Lost 20 pounds or more in the past 6 months?

F. Have you ever been treated for an eating disorder?

Sources:
DM Garner, PE Garfinkel. The Eating Attitudes Test: An Index of the Symptoms of Anorexia Nervosa. 9 Psychological Medicine 273-279. 1979.

DM Garner, et al. The Eating Attitudes Test: Psychometric Features and Clinical Correlates. 12 Psychological Medicine 871-878. 1982. (Introduced the 26 item version of the EAT.)

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