Orthorexia Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- No
- Yes
- Yes, more than 4
- No
- Yes
- No
- Yes
Orthorexia Test - Description and methodology of the test
People questioning whether health-focused eating has become rigid, distressing, or disruptive can use this online assessment to examine that pattern more clearly. Its conceptual reference, Bratman's Orthorexia Test (BOT), helps frame concerns about food rules, emotional responses, self-worth, and social choices. An orthorexia quiz offers a concise result indicating whether concern appears low or elevated, giving readers a practical basis for reflection.
What This Assessment Explores
Healthy eating itself is not treated as a problem. This orthorexia assessment examines when attention to food quality becomes consuming, rules grow stricter, and dietary choices shape pleasure, identity, relationships, or ordinary activities. The result focuses on obsessive preoccupation with healthy eating and restrictive control.
The item themes are:
- Food preoccupation shows how much mental time and planning are devoted to eating healthfully.
- Restrictive control shows whether rules become stricter or make the diet monotonous and difficult to relax.
- Emotional and lifestyle impact reflects guilt, self-esteem, isolation, and lost activities linked to dietary requirements.
The Orthorexia Scale ranges from 0-11: Low concern is 0-3, while Elevated concern is 4-11. Scores of 4 or higher are recommended for referral to a specialist for detailed evaluation. Higher scores may indicate more pronounced orthorexic features.
Methodology and Scientific Basis
The format is predominantly binary: most items use yes-or-no responses, while the first also includes the thresholded affirmative option “Yes, more than 4.” The wording covers planning, food quality, increasing restrictions, guilt, self-evaluation, social isolation, and the sense of calm or control associated with healthy eating. The questionnaire reports one displayed scale, but it does not state how many points each answer contributes; a point-by-point scoring rule should not be inferred.
Viewed as an orthorexia questionnaire, it is conceptually consistent with the BOT, the early self-screening approach associated with Bratman. It is not presented as a normed reproduction or validated adaptation of that instrument. Meule and colleagues' comparison shows that self-report measures can differ in item content and scoring, while Dunn and Bratman's review describes orthorexia through excessive health-food focus, distress, impairment, and rigid control.
Results are most useful when read alongside current routines and functioning. Honest responding and self-awareness affect self-report, and temporary stress or dietary changes may influence answers. An elevated result signals a reason for more detailed evaluation rather than a diagnosis; interpretation should consider whether eating rules are producing distress, restriction, or disruption in everyday life.
- Bratman, S., & Knight, D. (2000). Health Food Junkies: Overcoming the Obsession with Healthful Eating. New York, NY: Broadway Books.
- Meule, A., Holzapfel, C., Brandl, B., Greetfeld, M., Hessler-Kaufmann, J. B., Skurk, T., Quadflieg, N., Schlegl, S., Hauner, H., & Voderholzer, U. (2020). Measuring orthorexia nervosa: A comparison of four self-report questionnaires. Appetite, 146, 104512. 10.1016/j.appet.2019.104512
- Dunn, T. M., & Bratman, S. (2016). On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eating Behaviors, 21, 11-17. 10.1016/j.eatbeh.2015.12.006
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