Should I get help?

PAGE TWO QUESTIONS FOR REPORT

YOUR WELLBEING

These questions are about the impact of your eating and body concerns on your health and wellbeing over the past few weeks.

These questions are about the impact of your eating and body concerns on your health and wellbeing over the past few weeks.
PHYSICAL WELLBEING
HAVE YOUR EATING, BODY CONCERNS, AND BEHAVIOURS TO TRY AND CONTROL YOUR WEIGHT, SHAPE OR SIZE…
Made you feel physically unwell (e.g., dizzy, faint, weak, fatigued or drained)?	Never Rarely Sometimes Most or all of the time
Resulted in rapid weight loss or gain, or ups and downs in weight	Never Rarely Sometimes Most or all of the time
Made you feel very cold, or have cold hands and feet	Never Rarely Sometimes Most or all of the time
Caused you problems in looking after another health problem	Never Rarely Sometimes Most or all of the time
EMOTIONAL WELLBEING
HAVE YOUR EATING, BODY CONCERNS, AND BEHAVIOURS TO TRY AND CONTROL YOUR WEIGHT, SHAPE OR SIZE…
Made you worried	Not at all Somewhat Mostly Very
Made you feel guilty or ashamed	Not at all Somewhat Mostly Very
Made you feel worse (bad / critical) about yourself	Not at all Somewhat Mostly Very
Made you feel distressed	Not at all Somewhat Mostly Very
Made you feel different or isolated from other people	Not at all Somewhat Mostly Very
Made you use to drugs or alcohol to cope	Never Rarely Sometimes Most or all of the time
RELATIONSHIPS
HAVE YOUR EATING, BODY CONCERNS, AND BEHAVIOURS TO TRY AND CONTROL YOUR WEIGHT, SHAPE OR SIZE…
Caused problems with your relationships with others	Never Rarely Sometimes Most or all of the time
Made you feel misunderstood by others	Never Rarely Sometimes Most or all of the time
Made you put off or avoid connecting with friends or family	Never Rarely Sometimes Most or all of the time
ENJOYING AND PARTICIPATING IN EVERYDAY LIFE
HAVE YOUR EATING, BODY CONCERNS, AND BEHAVIOURS TO TRY AND CONTROL YOUR WEIGHT, SHAPE OR SIZE…
Got in the way of doing things you used to enjoy	Never Rarely Sometimes Most or all of the time
Made it difficult for you to eat with others	Never Rarely Sometimes Most or all of the time
Taken time from other important everyday activities or plans	Never Rarely Sometimes Most or all of the time
Made it difficult to concentrate	Never Rarely Sometimes Most or all of the time
Interfered with your work / study performance	Never Rarely Sometimes Most or all of the time
Made things difficult for you financially	Never Rarely Sometimes Most or all of the time
Caused problems with being able to take good care of yourself	Never Rarely Sometimes Most or all of the time

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