Body Image I am unhappy with the way my body looks. Yes No I have been thinking more and more about gastric or cosmetic surgery Yes No I don’t exercise regularly because I am ashamed of the size and shape of my body. Yes No I am uncomfortable being naked with my partner/ lover. Yes No I have engaged in numerous dieting or exercise programs to reshape my body. Yes No I avoid activities such as swimming and sex because I am uncomfortable/ unhappy with my body Yes No I find myself saying negative things about my body to myself and/ or to my friends Yes No How I feel about my body negatively affects my mood and/ or my level of anxiety. Yes No I spend a disproportionate amount of time each day with thoughts and behaviors that are body-focused. Yes No
Weight I wish I weighed less than I do. Yes No The number on the scale determines how I feel about my body and how I see myself in the mirror. Yes No I would rather be thin than healthy. Yes No I sometimes/ often skip meals in hopes that it will help me lose weight. Yes No I have been on numerous diets because I want to lose weight. Yes No I have lost weight on diets/ programs but I eventually have gained back that weight. Yes No My life would change for the better if I lost weight. Yes No Genetics are responsible for my weight and size. Yes No I believe that my weight issues are caused by my lack of will power and self-control. Yes No I believe that all women can be thin if they really work hard at achieving that. Yes No
Eating I often overeat and then feel stuffed and guilty. Yes No I sometimes/ often wonder if I have an eating disorder. Yes No If I overeat, I then restrict my food to compensate. Yes No After I have eaten, I often think, “Why did I eat that?” Yes No I eat a great deal of high calorie, high sugar and high fat foods. Yes No As a part of “my diet” I have eliminated certain types of foods. Yes No I believe that there are only two categories of foods, good and bad. Yes No I believe that if I eat when I am hungry and what I want, I will get fat. Yes No I am afraid of food and eating. Yes No I need help with making healthy and nutritious food choices. Yes No
Knowing the Meaning Behind Your Score: Add up all of yesses. If you have at least 15, you more than likely have some challenges with body image, weight, and food. If you scored 20 or more yesses, you definitely need to work on your understanding, beliefs, and behaviors in these categories.
Now look a little more closely. Are there any categories in which you have 5 or more yesses? If you do, that indicates a specific area that needs your attention. Submit