Assessment of Clinical Deterioration in Eating Disorders Test - the question form
Questions: 16 · 3 minutes
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1. Over the past month, to what extent have your eating habits, physical activity, and feelings about your eating, body shape, and weight made you feel ashamed of yourself?
0: Not at all
1
2
3: Very much
2. Made you feel guilty.
0: Not at all
1
2
3: Very much
3. Made you criticize yourself.
0: Not at all
1
2
3: Very much
4. Made you feel like a failure.
0: Not at all
1
2
3: Very much
5. Upset you.
0: Not at all
1
2
3: Very much
6. Caused you worry.
0: Not at all
1
2
3: Very much
7. Interfered with eating with family or friends.
0: Not at all
1
2
3: Very much
8. Made it difficult to eat in the presence of other people.
0: Not at all
1
2
3: Very much
9. Interfered with doing things you usually enjoy.
0: Not at all
1
2
3: Very much
10. Kept you from spending time with friends.
0: Not at all
1
2
3: Very much
11. Interfered with your relationships with other people.
0: Not at all
1
2
3: Very much
12. Made you feel distracted.
0: Not at all
1
2
3: Very much
13. Made you forgetful.
0: Not at all
1
2
3: Very much
14. Affected your ability to make everyday decisions.
0: Not at all
1
2
3: Very much
15. Affected your ability to work (if applicable).
0: Not at all
1
2
3: Very much
16. Made it difficult for you to concentrate.
0: Not at all
1
2
3: Very much
1. Over the past month, to what extent have your eating habits, physical activity, and feelings about your eating, body shape, and weight made you feel ashamed of yourself?
0: Not at all
1
2
3: Very much
2. Made you feel guilty.
0: Not at all
1
2
3: Very much
3. Made you criticize yourself.
0: Not at all
1
2
3: Very much
4. Made you feel like a failure.
0: Not at all
1
2
3: Very much
5. Upset you.
0: Not at all
1
2
3: Very much
6. Caused you concern.
0: Not at all
1
2
3: Very much
7. Interfered with eating with family or friends.
0: Not at all
1
2
3: Very much
8. Made it difficult to eat in the presence of other people.
0: Not at all
1
2
3: Very much
9. Interfered with doing things you usually enjoyed.
0: Not at all
1
2
3: Very much
10. Prevented you from spending time with friends.
0: Not at all
1
2
3: Very much
11. Interfered with your relationships with other people.
0: Not at all
1
2
3: Very much
12. Made it hard for you to concentrate.
0: Not at all
1
2
3: Very much
13. Made you forgetful.
0: Not at all
1
2
3: Very much
14. Affected your ability to make everyday decisions.
0: Not at all
1
2
3: Very much
15. Affected your ability to work at your job (if applicable).
0: Not at all
1
2
3: Very much
16. They interfered with your ability to concentrate.
0: Not at all
1
2
3: Very much