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Binge Eating Assessment

Binge Eating Assessment

Binge Eating Assessment

Instructions. Below are groups of numbered statements. Read all of the statements in each group and mark on this sheet the one that best describes the way you feel about the problems you have controlling your eating behavior.

Step 1 of 5

#1(Required)
#2(Required)
#3(Required)
#4(Required)

Adolescent/ Teen Group Interest

This form is to let us know you are interested in an adolescent/ teen group. Once we have enough people we will schedule a start date and let you know.

Name

Adult Group Interest

This form is to let us know you are interested in the adult virtual group. Once we have enough people we will schedule a start date and let you know.

Name

Family/ Loved Ones Group Interest

This form is to let us know you are interested in the family/loved ones virtual group. Once we have enough people we will schedule a start date and let you know.

Name

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie