Eating Disorder Survey

CURRENTLY: [] anorexic [] ednos [x] bulimic [x] living off laxative/diet pills [x] hungry [] thirsty [] drinking something [] Under 100lbs [] fasting/starving myself PEOPLE: [] ask if I’m anorexic/bulimic [x] have called me fat [] have said I’m skinny [] have said I’m ugly [x] have said I’m pretty [x] spread rumors about me [x] forced me to eat [x] say I eat too much [] wish I’d eat more [x] don’t know I’m anorexic/bulimic/ednos I WISH: [x] I was THIN [x] I had a better body [x] I didn’t have to eat [x] I could control myself [] I was under 110lbs [x] I could avoid food [] I could hide what I am [x] I wasn’t fat [x] I was pretty I LOVE: [] feeling hungry [x] seeing a difference when fasting [x] shaking [] feeling airy [x] losing weight [] green tea [x] diet pills [x] being able to turn down food [x] feeling good about myself APPEARANCE: [] I am shorter than 5’4 [x] I think I’m ugly [x] I have many scars [] I wish my hair was a different colour [x] I have a tattoo [x] I am self-conscious about my appearance [] I have/had braces [] I wear glasses/contacts [x] I would get plastic surgery if it were 100% safe, free of cost, and scar-free [x] I have more than 2 piercings [x] I have piercings in places besides my ears [] I have freckles FAMILY: [x] I’ve sworn at my parents [] i tried] I’ve run away from home [] I’ve been kicked out of the house [] My biological parents are together [] I have a sibling less than one year old [x] I want to have kids someday [] I’ve had children [x] I’ve lost a child [] I can’t have children RELATIONSHIPS: [x] I’m single [] I’m in a relationship [] I’m engaged [] I’m married [x] I miss someone right now [x] I have a fear of abandonment [] I’ve cheated in a relationship [] I’ve gotten divorced [x] I’ve had feelings for someone who didn’t have them back [x] I’ve told someone I loved them when I didn’t [x] I’ve told someone I didn’t love them when I did [x] I’ve kept something from a past relationship SEXUALITY: [] I’ve had a crush on someone of the same sex [x] I am a cuddler [x] I’ve kissed in the rain [x] I’ve hugged a stranger [] I have kissed a stranger BAD TIMES: [x] I’ve consumed alcohol [] I regularly drink [] I can’t swallow pills [x] I can swallow numerous pills at a time without water [x] I have been diagnosed with depression [x] I shut others out when I’m upset [x] I take anti-depressants [x] I’m anorexic or bulimic or have EDNOS [x] I’ve slept an entire day when I didn’t need it [x] I’ve hurt myself on purpose [x] I’m addicted to self harm [x] I’ve woken up crying [x] I’ve fallen asleep crying [x] I’ve lost weight [x] I’ve gained weight [x] My weight holds me back [x] Weight consumes me [] I’m at my thinnest [x] I’m at my biggest [] I’ve lost weight and kept it off [x] I’ve lost weight but gained it back [x] My weight affects my mood [] I weigh myself daily [x] I am jealous of everyone smaller than me [] I thrive on compliments [] I hate compliments [] I feel bigger than people who are my size [] I feel happy when I’m hungry [x] I’ve skipped a meal [x] I’ve thrown food away [x] I’ve spit food out [x] I’ve fasted [x] I’ve taken diet pills [x] I’ve used laxatives [x] I’ve purged [] I exercise [x] I exercise so I can eat [] I work out secretly [] I work out daily [x] I’ve fainted from exhaustion I’VE DONE: [] Weed [] Cigarettes [x] Alcohol [x] Diet pills [x] Pain killers [x] Sleeping pills [x] Anti-depressants/Mood supporters [] Ecstasy [] LSD [] Mushrooms [] Speed [] Cocaine [] Other HABITS: [x] I keep my eating habits a secret [x] I look at thinspo [x] I collect thinspo [x] I count calories [x] I’ve had negative intake days [x] I avoid food [x] I hate food [x] I love food [x] I don’t want to be like this [x] I wish I could have more control [x] losing weight is my top priority [x] I am in treatment [] I’m doing this for me [] I’m doing this for someone [] I’m doing this to prove myself