I have said or thought, "I would rather die than be fat."
True		False

Even though people tell me I'm thin, I feel fat.
True		False

I worry about what I will eat.
True		False

Other people talk about the way I eat.
True		False

I don't talk much about my fear of being fat because no one understands how I feel.
True		False

I enjoy cooking for others, but I usually don't eat what I've cooked.
True		False

I have a secret stash of food.
True		False

I don't like to be bothered or interrupted when I'm eating.
True		False

If I were thinner, I would like myself better.
True		False

I have missed work or school because of my weight or eating habits.
True		False

I tend to be depressed and irritable
True		False

I feel guilty when I eat.
True		False

I avoid some people because they bug me about the way I eat.
True		False

When I eat, I feel bloated and fat.
True		False

My eating habits and fear of food interfere with friendships or romantic relationships.
True		False

I do strange things with my food (cut it into tiny pieces, eat it in special ways, eat it on special dishes with special utensils, make patterns on my plate with it, secretly throw it away, give it to the dog, hide it, spit it out before I swallow, etc.)
True		False

I get anxious when people watch me eat.
True		False

I am hardly ever satisfied with myself.
True		False

I vomit or take laxatives to control my weight.
True		False

I have stolen food, laxatives, or diet pills from stores or from other people.
True		False

I have fasted to lose weight.
True		False

In romantic moments, I cannot let myself go because I am worried about my fat and flab.
True		False

I lie about what I eat.
True		False

I have noticed one or more of the following: cold hands and feet, dry skin, thinning hair, fragile nails, swollen glands in my neck, dental cavities, dizziness, weakness, fainting, rapid or irregular heartbeat.
True		False