ED Survey
Understanding Eating Disorders: A Personal Survey
Take part in our Eating Disorder Survey to share your experiences and insights. This quiz aims to gather meaningful data to better understand the challenges faced by individuals dealing with eating disorders.
Your feedback will help raise awareness and support for those affected by these issues. Participate to contribute towards a better understanding of mental health and recovery journeys.
What Gender are you?
Female
Male
Other
How much do you weigh? (lbs to the nearest ten)
250-200
190-180
170-160
150-140
130-120
110-100
90-80
70-60
Less than 50
How old are you?
Under 10
10-13
14-17
18-25
26-30
30+
How old were you when you developed your eating disorder?
Under 10
10-13
14-17
18-25
26-30
30+
Have you ever been diagnosed with an eating disorder?
Yes
No
Self diagnosed, yes.
What eating disorder do you suffer from? (select all that apply)
Anorexia/Anorexia Nervosa
Bulimia
EDNOS
Orthorexia
Body Dysmorphia
Who have you told about your disorder? (select all that apply)
Parents
Friends
Best Friend
Teachers
Extended Family (aunt, grandparent, cousin, etc)
Therapist
No one
What side effects do you suffer from, as a result of your disorder? (select all that apply)
Headaches
Dizziness
Anemia (Iron Deficiency)
Underweight
Brittle nails
Thin hair, falls out
Loss or irregularity of period
Damaged teeth and gums
Swollen salivary glands
Tiredness
How many times have you attempted to recover from your ED?
Never
1
2-3
4-5
More than 6
Have you ever been hospitalized as a result of your disorder?
Yes
No
Do you suffer from any of the following?
Osteoporosis
Osteopenia
Heart Problems
Infertility
Anemia
Weak Immune System
Vitamin Deficiencies
None
What mental illness' do you suffer from? (Besides ED)
Depression
Anxiety
PTSD
Drug Addiction
Bipolar Disorder
Other
None
Have you ever purged? (or used laxatives)
Yes
No
Do you know anyone in your life with an ED?
Yes
No
Does your disorder cause you to struggle to develop relationships/friendships?
Yes
No
Kind of
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