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Free Screening Tool
Free Screening Tool
Free Screening Tool
Free Screening Tool
I’m taking this assessment because I’m concerned about:
Myself
My Child (under 18)
Other Family Member
A friend
What is your (or other's) gender?
Female
Male
Transgender
What is your (or other's) current age?
Under 13
13-17
18-24
25-40
41-60
Over 60
Compared to others your age, do you spend a significant amount of time worrying about your body, weight or shape?
Yes
No
Would you say that food, or thinking about food, dominates your life?
Yes
No
Do you worry you have lost control over how much you eat?
Yes
No
Do you make yourself sick when you feel uncomfortably full?
Yes
No
Do you believe that you are fat when others say you are too thin?
Yes
No
Has anyone (i.e. physician, coach, family member, friend, or therapist) expressed concern about your weight being too low in the past 2 years?
Yes
No
Do you avoid food or eating? - OR - Have you experienced a lack of interest in food or eating?
Yes
No
Your responses do not indicate the presence of disordered eating behavior, however we always recommend a personal consultation when concerns are present.
We are happy to answer any questions you might have and our clinicians can help to recommend personalized resources and next steps. Complete the form below to contact The Alma Center for a confidential discussion.
Your responses indicate one or more criteria of disordered eating.
While this is not a formal diagnosis, we are happy to answer any questions you might have and our clinicians can help to recommend personalized resources and next steps. Complete the form below to contact The Alma Center for a confidential discussion.
Name
First
Last
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