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Binge eating questionnaire printable 2026

The document outlines the Eating Disorder Examination Questionnaire (EDE-Q 6.0), a tool designed to assess the psychopathology of eating disorders over the past four weeks. It includes a series of questions that evaluate behaviors, thoughts, and feelings related to eating, weight, and body image. The questionnaire aims to gather frequency data on key eating disorder behaviors and generate subscale scores reflecting severity in areas such as restraint, eating concern, shape concern, and weight concern.

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Click ‘Get Form’ to open the binge eating questionnaire in the editor.
Begin by entering the date of your interview or examination at the top of the form. This helps track your responses over time.
Carefully read each question, focusing on your experiences over the past four weeks. For questions 1 to 12, circle the number that best represents your experience.
For questions 13 to 18, fill in the appropriate numbers in the boxes provided. These questions require you to quantify specific behaviors related to eating.
Continue with questions 19 to 28, circling the number that reflects your feelings and experiences regarding weight and body image.
Finally, provide your current weight and height at the end of the form. If applicable, answer any additional questions regarding menstrual periods.

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What qualifies as binge-eating disorder?

Symptoms of binge-eating disorder vary but can include: Feeling that you dont have control over your eating behavior, for example, you cant stop once you start. Often eating much larger than usual amounts of food in a specific amount of time, such as over a two-hour period. Eating even when youre full or not hungry.

What is the DSM-5 307.51 F50 8?

2) Binge-Eating Disorder 307.51 (F50. 8)

What is the binge-eating disorder questionnaire?

The Eating Disorder Examination Questionnaire (EDE-Q) [24]. Based on the Eating Disorder Examination interview (EDE; Fairburn, Wilson [25]), the EDE-Q is a self-report questionnaire that assesses of the severity and frequency of eating disorder symptoms (including binge eating) experienced over the 28 days prior.

What are the DSM 5 criteria for binge eating?

Eating until feeling uncomfortably full. Eating large amounts of food when not feeling physically hungry. Eating alone because of feeling embarrassed by how much one is eating. Feeling disgusted with oneself, depressed, or very guilty afterwards.

What are the criteria for eating disorder admission?

Acceptable indications for a patients admission include the following: weight is less than 75% of ideal body weight, temperature is lower than 35.5C (95.9F), heart rate is less than 45 beats/min, systolic blood pressure level is lower than 80 mm Hg, orthostatic change in pulse is higher than 20 beats/min, or