We should like to know how you have been feeling about your appearance over the PAST FOUR WEEKS. Please read each question and circle the appropriate number to the right. Please answer all the questions.

		Never
		|	Rarely
		|	|	Sometimes
		|	|	|	Often
		|	|	|	|	Very often
		|	|	|	|	|	Always
		|	|	|	|	|	|
1.	Have you worried about your flesh being not firm enough?...................	1	2	3	4	5	6
2.	Has eating even a small amount of food made you feel fat?...................	1	2	3	4	5	6
3.	Have you avoided wearing clothes which make you particularly aware of the shape of your body?......................................................................	1	2	3	4	5	6
4.	Have you felt ashamed of your body?.....................................................	1	2	3	4	5	6
5.	Has worry about your shape made you diet?..........................................	1	2	3	4	5	6
6.	Have you felt happiest about your shape when your stomach has been empty (e.g. in the morning)?...................................................................	1	2	3	4	5	6
7.	Have you felt that it is not fair that other women are thinner than you?.	1	2	3	4	5	6
8.	Have you worried about your flesh being dimply?.................................	1	2	3	4	5	6