Eat-40admin2021-02-26T16:56:27+00:00 Eating Attitudes Test (EAT-40)© Instructions: This is a screening measure to help you determine whether you might have an eating disorder that needs professional attention. This screening measure is not designed to make a diagnosis of an eating disorder or take the place of a professional consultation. Please fill out the form below as accurately, honestly and completely as possible. There are no right or wrong answers. All of your responses are confidential. Sample Code: Part A: Complete the following questions: 1) Birth Date Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 2) Gender: Male Female 3) Height Feet 1'2'3'4'5'6'7'8' Inches 1"2"3"4"5"6"7"8"9"10"11" 4) Current Weight (lbs.): 5) Highest Weight (excluding pregnancy): 6) Lowest Adult Weight: 7) Ideal Weight: Part B: Check a response for each of the following statements: Always: Usually: Often: Sometimes: Rarely: Never: 1. Like eating with other people 2. Prepare foods for others but do not eat what I cook. 3. Become anxious prior to eating. 4. Am terrified about being overweight. 5. Avoid eating when I am hungry. 6. Find myself preoccupied with food. 7. Have gone on eating binges where I feel that I may not be able to stop. 8. Cut my food into small pieces. 9. Aware of the calorie content of foods that I eat. 10. Particularly avoid food with a high carbohydrate content (i.e. bread, rice, potatoes, etc.) 11. Feel boated after meals. 12. Feel that others would prefer if I ate more. 13. Vomit after I have eaten. 14. Feel extremely guilty after eating. 15. Am preoccupied with a desire to be thinner. 16. Exercise strenuously to burn off calories. 17. Weigh myself several times a day. 18. Like my clothes to fit tightly. 19. Enjoy eating meat. 20. Wake up early in the morning. 21. Eat the same foods day after day. 22. Think about burning up calories when I exercise. 23. Have regular menstrual periods. 24. Other people think that I am too thin. 25. Am preoccupied with the thought of having fat on my body. 26. Take longer than others to eat my meals. 27. Enjoy eating at restaurants. 28. Take laxatives. 29. Avoid foods with sugar in them. 30. Eat diet foods. 31. Feel that food controls my life. 32. Display self-control around food. 33. Feel that others pressure me to eat. 34. Give too much time and thought to food. 35. Suffer from constipation. 36. Feel uncomfortable after eating sweets. 37. Engage in dieting behavior. 38. Like my stomach to be empty. 39. Enjoy trying new rich foods. 40. Have the impulse to vomit after meals. Part C: Behavioral Questions: In the past 6 months have you: Never Once a month or less 2-3 times a month Once a week 2-6 times a week Once a day or more A. Gone on eating binges where you feel that you may not be able to stop?* B. Ever made yourself sick (vomited) to control your weight or shape? C. Ever used laxatives, diet pills or diuretics (water pills) to control your weight or shape? D. Exercised more than 60 minutes a day to lose or to control your weight? E. Lost 20 pounds or more in the past 6 months YES NO F. Have you ever been treated for an eating disorder? YES NO *Defined as eating much more than most people would under the same circumstances and feeling that eating is out of control. © Copyright: EAT-40: (Garner & Garfinkel, 1979, Psychological Medicine, 9, 273-279); adapted by D. Garner with permission.