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Disorder SurveyAnorexia
[x] You hate your body.
[x] You have starved yourself.
[x] You have low self esteem.
[] You use(used) laxatives.
[x] You need to be skinnier.
[] People always say you’re skinny, but you think you’re fat.
[x] People think you are way too skinny.
[x] You skip at least one meal a day.
[] You limit your calories or check them constantly by compulsion.
Total: 6/9
Bipolar Disorder
[x] You can act wild at times then the next you are severely depressed.
[x] You are very irritable.
[x] You barely get any or no sleep.
[x] You have very high self esteem at times.
[x] You have used or abused alcohol, drugs, or sex.
[x] You have thought of/attempted suicide
[x] You have the worst mood swings of anyone you know.
Total: 7/7Bulimia Nervosa
[] You have overly exercised to where you almost fainted/passed out.
[x] You’ve thrown up all your food at one time
[x] You always say you are fat.
[x] You thrown it up even when you don’t feel sick.
[] You have little control over how you eat.
[] You use(d) laxatives.
[x] You eat fast[x] People think you are skinny.
Total: 5/8
Depression[x] You are always, or normally, feel sad.
[x] You always, or normally, at some point during the day are crying.
[x] You find no hope in your future.
[x] You find no longer excitement over the activities you used to love.
[] You always find yourself around the house or in bed all day.
[] You are anti-social.
[x] You have low self esteem.
[x] Everything bad that happens is always your fault.
[] Hope is no longer there for you.
Total: 6/9
Obsessive Compulsive Disorder
[x] You have disturbing thoughts or thoughts you hate.
[x] You have to do a certain thing until it feels right.
[x] You have to keep things in a certain order.
[x] You have harmed yourself.
[x] You are afraid you will get an STD, or AIDS.
[x] You have to check some stuff over again many times.
Total: 6/6











