1. How much more or less do you feel you worry about your weight and body shape than other people your age? I worry a lot less than other people I worry a little less than other people I worry about the same as other people I worry a little more than other people I worry a lot more than other people
2. How afraid are you of gaining 3 pounds (about 1.5 kg)? Not afraid of gaining Slightly afraid of gaining Moderately afraid of gaining Very afraid of gaining Terrified of gaining
3. When was the last time you went on a diet? I have never been on a diet I was on a diet about one year ago I was on a diet about 6 months ago I was on a diet about 3 months ago I was on a diet about 1 month ago I was on a diet less than 1 month ago I am on a diet now
4. Compared to other things in your life, how important is your weight to you? My weight is not important compared to other things in my life My weight is a little more important than some other things in my life My weight is more important than most, but not all, things in my life My weight is the most important thing in my life
5. Do you ever feel fat? Never Rarely Sometimes Often Always
6. In the past 3 months, how many times have you had a sense of loss of control AND you also ate what most people would regard as an unusually large amount of food at one time (definitely more than most people would eat under similar circumstances)? Enter a number. Enter 0 if this has not happened.
7. During these episodes of eating an unusually large amount of food with a sense of loss of control, do you: Select all that apply.
Eat much more rapidly than normal? Eat until feeling uncomfortably full? Eat large amounts of food when not feeling physically hungry? Eat alone because of feeling embarrassed by how much you are eating? Feel disgusted, depressed, or very guilty afterward? None of the above
8. How distressed or upset have you felt about these episodes? Not at all A little Moderately Greatly Extremely
9. In the past 3 months, how many times have you done any of the following as a means to control your weight and shape? Enter a number for each. Enter 0 if never.
10. Do you consume a small amount of food (i.e., less than 1200 calories a day) on a regular basis to influence your shape or weight? Yes No
11. Are you currently in treatment for an eating disorder? Yes No Not currently, but I have been in the past
Height and weight help us give you a more accurate result. You can leave them blank if you prefer. 12. What is your current height? You can leave this blank, but your results may be less accurate.
Height and weight help us give you a more accurate result. You can leave them blank if you prefer. 13. What is your current weight? kg
You can leave this blank, but your results may be less accurate.
14. Approximately how much did you weigh 6 months ago? kg
You can leave this blank, but your results may be less accurate.
15. Approximately how much did you weigh 12 months ago? kg
You can leave this blank, but your results may be less accurate.
16. Do you struggle with a lack of interest in eating or food, AND has this led you to eating less food (including fewer calories or a smaller amount)? Yes No
17. Do you avoid many foods because of features such as taste, texture, consistency, temperature, or smell? Yes No
18. Do you avoid certain or many foods — not foods you must avoid for a medical reason such as an allergy or intolerance — because of fear of experiencing negative consequences like choking, vomiting, or abdominal pain? Yes No
19. Has your avoidance of, or lack of interest in, eating or food led to major problems for you (for example significant weight loss, nutritional problems, or difficulty with relationships, work, or school), OR have other people (such as doctors, family members, or partners) said that it has? Yes No
20. Over the last two weeks, how often have you been bothered by thoughts that you would be better off dead, or of hurting yourself in some way? Not at all Several days More than half the days Nearly every day
If you are having thoughts of harming yourself right now, please call 999 or Befrienders KL 03-7627 2929 (24 hours).
A few questions about you We need your age, because the result is different for under-18s. The rest are optional, so skip any you like. They help Relate understand who uses these screenings and what affects how people feel, for example whether women and men answer differently. We never ask for your name.
Age, needed for your resultChoose your age 12 or under 13–17 18–24 25–34 35–44 45–54 55–64 65–74 75–84 85 or over GenderPrefer not to say Woman Man Another gender StatePrefer not to say Johor Kedah Kelantan Kuala Lumpur Labuan Melaka Negeri Sembilan Pahang Penang Perak Perlis Putrajaya Sabah Sarawak Selangor Terengganu Outside Malaysia EthnicityPrefer not to say Malay Chinese Indian Bumiputera Sabah Bumiputera Sarawak Orang Asli Other Marital statusPrefer not to say Single Married Divorced or separated Widowed EducationPrefer not to say Secondary or below Diploma Degree Postgraduate WorkPrefer not to say Student Employed Self-employed Not working Retired
Skip the rest and see my result
Choosing an answer takes you to the next question. You can go back at any time.
Relate keeps your answers without your name, to understand how people are doing. They are stored on a server in the United States. See “Your privacy” on My check-ins.
This screening is for information purposes only. It does not provide a diagnosis. Adapted from the Stanford-Washington University Eating Disorder Screen (SWED).
