Eating disorder in Covid 19 pandemic

Hi,

Please take a few minutes to complete the following questionnaire. :)

Zabezpečené

Questions 1 to 12: Please circle the appropriate number on the right. Remember that the questions only refer to the past four weeks (28 days) only.

1

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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2

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?

Vyberte jednu odpoveď

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3

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)?

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4

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)?

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7

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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8

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)?

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Questions 13-18: Please fill in the appropriate number in the boxes on the right. Remember that the questions only refer to th past four weeks (28 days).

Over the past four weeks (28 days)....

13

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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14

... On how many of these times did you have a sense of having lost control over your eating (at the time you were eating)?

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15

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)?

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16

Over the past 28 days, how many times have you made yourself sick (vomit) as a means of controlling your shape or weight?

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17

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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18

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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Questions 19 to 21: Please circle the appropriate number. Please note that for these questions 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.

19

Over the past 28 days, on how many days have you eaten in secret (ie, furtively)? ... Do not count episodes of binge eating.

Vyberte jednu odpoveď

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20

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.

Vyberte jednu odpoveď

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21

Over the past 28 days, how concerned have you been about other people seeing you eat? ... Do not count episodes of binge eating.

Vyberte jednu odpoveď

Not at all

Slightly

Moderately

Markedly

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Questions 22 to 28: Please circle the appropriate number on the right. Remember that the questions only refer to the past four weeks (28 days).

22

Sem napíšte text otázky...

Has your weight influenced how you think about (judge) yourself as a person?

NOT AT ALL

SLIGHTLY

MODERATELY

MARKDELY

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23

Has your shape influenced how you think about (judge) yourself as a person?

Vyberte jednu odpoveď

NOT AT ALL

SLIGHTLY

MODERATLY

MARKDELY

Vytvoriť dotazník↗

24

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?

Vyberte jednu odpoveď

NOT AT ALL

SLIGHTLY

MODERATELY

MARKEDLY

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25

How dissatisfied have you been with your weight?

Vyberte jednu odpoveď

NOAT AT ALL

SLIGHTLY

MODERATELY

MARKEDLY

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26

How dissatisfied have you been with your shape?

Vyberte jednu odpoveď

NOT AT ALL

SLIGHTLY

MODERATELY

MARKEDLY

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27

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)?

Vyberte jednu odpoveď

NOT AT ALL

SLIGHTLY

MODERATELY

MARKEDLY

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28

How uncomfortable have you felt about others seeing your shape or figure (for example, in communal changing rooms, when swimming, or wearing tight clothes)?

Vyberte jednu odpoveď

Odpoveď 1

Odpoveď 2

Odpoveď 3

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29

What is your weight at present? (Please give your best estimate :) :

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30

What is your height? (Please give your best estimate.) :) :

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31

If female: Over the past three to four months have you missed any menstrual periods?:

Vyberte jednu odpoveď

Yes

No

32

If so, how many?:

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33

Have you been taking the “pill”?:

Vyberte jednu odpoveď

Yes

No

THANK YOU :)

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Eating disorder in Covid 19 pandemic

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)

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?

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)?

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)?

Have you had a definite desire to have an empty stomach with the aim of influencing your shape or weight?

Have you had a definite desire to have a totally flat stomach?

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)?

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)?

Have you had a definite fear of losing control over eating?

Have you had a definite fear that you might gain weight?

Have you felt fat?

Have you had a strong desire to lose weight?

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)?

... On how many of these times did you have a sense of having lost control over your eating (at the time you were eating)?

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)?

Over the past 28 days, how many times have you made yourself sick (vomit) as a means of controlling your shape or weight?

Over the past 28 days, how many times have you taken laxatives as a means of controlling your shape or weight?

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?

Over the past 28 days, on how many days have you eaten in secret (ie, furtively)? ... Do not count episodes of binge eating.

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.

Over the past 28 days, how concerned have you been about other people seeing you eat? ... Do not count episodes of binge eating.

Sem napíšte text otázky...

Has your shape influenced how you think about (judge) yourself as a person?

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?

How dissatisfied have you been with your weight?

How dissatisfied have you been with your shape?

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)?

How uncomfortable have you felt about others seeing your shape or figure (for example, in communal changing rooms, when swimming, or wearing tight clothes)?

What is your weight at present? (Please give your best estimate :) :

What is your height? (Please give your best estimate.) :) :

If female: Over the past three to four months have you missed any menstrual periods?:

If so, how many?:

Have you been taking the “pill”?: