SCHEDULE AN APPOINTMENT

Home
About
Our Team
Services
Groups
#HowToMealPlan
Specialties
Blog
Contact

Talk To Someone

Home
About
Our Team
Services
Groups
#HowToMealPlan
Specialties
Blog
Contact

Talk To Someone

SCHEDULE AN
APPOINTMENT

TALK TO SOMEONE
480-382-6109

Binge Eating Assessment

Binge Eating Assessment

Binge Eating Assessment

Step 1 of 4

25%

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.

#1(Required)

I don't feel self-conscious about my weight or body size when I'm with others.

I feel concerned about how I look to others, but it normally does not make me feel disappointed with myself.

I do get self-conscious about my appearance and weight which makes me feel disappointed in myself.

I feel very self-conscious about my weight and frequently, I feel intense shame and disgust for myself. I try to avoid social contacts because of my self consciousness.

#2(Required)

I don't have any difficulty eating slowly in the proper manner.

Although I seem to "gobble down" foods, I don't end up feeling stuffed because of eating too much.

At times, 1 tend to eat quickly and then, I feel uncomfortably full afterwards.

I have the habit of bolting down my food without really chewing it. When this happens l usually feel uncomfortably stuffed because I've eaten too much.

#3(Required)

I feel capable to control my eating urges when I want to.

I feel like I have failed to control my eating more than the average person.

I feel utterly helpless when it comes to feeling in control of my eating urges.

Because I feel so helpless about controlling my eating, I have become very desperate about trying to get in control.

#4(Required)

I don't have the habit of eating when I'm bored.

I sometimes eat when I'm bored, but often I'm able to "get busy" and get my mind off food.

I have a regular habit of eating when I'm bored, but occasionally, I can use some other activity to get my mind off eating.

I have a strong habit of eating when I'm bored. Nothing seems to help me break the habit.

#5(Required)

I'm usually physically hungry when I eat something.

Occasionally, I eat something on impulse even though I really am not hungry.

I have the regular habit of eating foods, that I might not really enjoy, to satisfy a hungry feeling even though physically, I don't need the food.

Even though I'm not physically hungry, I get a hungry feeling in my mouth that only seems to be satisfied when I eat a food, like a sandwich, that fills my mouth. Sometimes, when I eat the food to satisfy my mouth hunger, I then spit the food out so I won't gain weight.

#6(Required)

I don't feel any guilt or self-hate after I overeat.

After I overeat, occasionally I feel guilt or self-hate.

Almost all the time l experience strong guilt or self-hate after I overeat.

#7(Required)

I don't lose total control of my eating when dieting even after periods when I overeat.

Sometimes when I eat a "forbidden food" on a diet, I feel like I "blew it" and eat even more.

Frequently, l have the habit of saying to myself, "I've blown it now, why not go all the way" when I overeat on a diet. When that happens I eat even more.

I have a regular habit of starting strict diets for myself, but I break the diets by going on an eating binge. My life seems to be either a "feast" or "famine."

#8(Required)

I rarely eat so much food that I feel uncomfortably stuffed afterwards.

Usually about once a month, I eat such a quantity of food, I end up feeling very stuffed.

I have regular periods during the month when I eat large amounts of food, either at mealtime or at snacks.

I eat so much food that I regularly feel quite uncomfortable after eating and sometimes a bit nauseous.

#9(Required)

My level of calorie intake does not go up very high or go down very low on a regular basis.

Sometimes after I overeat, I will try to reduce my caloric intake to almost nothing to compensate for the excess calories I've eaten.

I have a regular habit of overeating during the night. It seems that my routine is not to be hungry in the morning but overeat in the evening.

In my adult years, I have had week-long periods where I practically starve myself. This follows periods when I overeat. It seems I live a life of either "feast or famine."

#10(Required)

I usually am able to stop eating when I want to. I know when "enough is enough."

Every so often, I experience a compulsion to eat which I can't seem to control.

Frequently, I experience strong urges to eat which I seem unable to control, but at other times I can control my eating urges.

I feel incapable of controlling urges to eat. I have a fear of not being able to stop eating voluntarily.

#11(Required)

I don't have any problem stopping eating when I feel full.

I usually can stop eating when I feel full but occasionally overeat leaving me feeling uncomfortably stuffed.

I have a problem stopping eating once I start and usually I feel uncomfortably stuffed after I eat a meal.

Because I have a problem not being able to stop eating when I want, I sometimes have to induce vomiting to relieve my stuffed feeling.

#12(Required)

I seem to eat just as much when I'm with others (family, social gatherings) as when I'm by myself.

Sometimes, when I'm with other persons, I don't eat as much as I want to eat because I'm self-conscious about my eating.

Frequently, I eat only a small amount of food when others are present, because I'm very embarrassed about my eating.

I feel so ashamed about overeating that I pick times to overeat when I know no one will see me. I feel like a "closet eater."

#13(Required)

I eat three meals a day with only an occasional between meal snack.

I eat three meals a day, but I also normally snack between meals.

When I am snacking heavily, I get in the habit of skipping regular meals.

There are regular periods when I seem to be continually eating, with no planned meals.

#14(Required)

I don't think much about trying to control unwanted eating urges.

At least some of the time, I feel my thoughts are pre-occupied with trying to control my eating urges.

I feel that frequently I spend much time thinking about how much I ate or about trying not to eat anymore.

It seems to me that most of my waking hours are pre-occupied by thoughts about eating or not eating. I feel like I'm constantly struggling not to eat.

#15(Required)

I don't think about food a great deal.

I have strong cravings for food but they last only for brief periods of time.

I have days when I can't seem to think about anything else but food.

Most of my days seem to be pre-occupied with thoughts about food. I feel like I live to eat.

#16(Required)

I usually know whether or not I'm physically hungry. I take the right portion of food to satisfy me.

Occasionally, I feel uncertain about knowing whether or not I'm physically hungry. At these times it's hard to know how much food I should take to satisfy me.

Even though I might know how many calories I should eat, I don't have any idea what is a "normal" amount of food for me.

Get More Updates

Subscribe To Our Newsletter

Email

Sign Me Up! (Can unsubscribe anytime)

Sinnergy Wellness Group is Attested, Innovative, & Effective Treatment Solutions For Eating Disorders.

Follow Us

Nutrition Client Log In
Therapy Client Login

Quick Links

Home
About
Services
Specialties
Blog
Contact

#HowToMealPlan

Meal Planning Strategies, Tips, & Techniques

Contact Us

480-382-6109

info@sinnergywellness.com

8700 E. Vista Bonita Dr. Suite 202
Scottsdale, AZ 85255

Office Hours

Mon - Fri: 8 AM - 5 PM

Evening and Weekend Appointments Available

2022 © All rights reserved by Sinnergy Wellness Group/ Kristine Sinner, MS, RDN, LD/N, CEDS-S

Notice of Privacy Practices. No Surprises Act.

Home
About
Our Team
Services
Groups
#HowToMealPlan
Specialties
Blog
Contact

Sinnergy Wellness Group

We Are Here To Help

Talk To Someone Today

480-382-6109

Schedule with Sinnergy Wellness Group

ARE YOU A NEW CLIENT?

Start Your Journey Today

• • •

ARE YOU A CURRENT CLIENT?

We’re Glad You Are Back

<br />

Booking Provided by Healthie

<br />

Booking Provided by Healthie

Loading…

Loading…

Booking Provided by Healthie

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

First Last

Phone

Email

Message

Request Appointment

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

First Last

Phone

Email

Message

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

First Last

Phone

Email

Message

Booking Provided by Healthie

Booking Provided by Healthie

Name(Required)

First Last

Email(Required)

Phone(Required)

How many times a week do you want monitoring?

What days of the week do you want monitoring?

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Number of Sunday Meal Monitoring Sessions

Number of Monday Meal Monitoring Sessions

Number of Tuesday Meal Monitoring Sessions

Number of Wednesday Meal Monitoring Sessions

Number of Thursday Meal Monitoring Sessions

Number of Friday Meal Monitoring Sessions

Number of Saturday Meal Monitoring Sessions

Would you prefer 15 minute or 30 minute sessions?(Required)

Booking Provided by Healthie