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    ACORN Assessment Tool ACORN Eating Disorder Inventory (Page 1 of 2)

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    Sabrina Price

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    © All Rights Reserved
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    ACORN Assessment Tool ACORN Eating Disorder Inventory (Page 1 of 2)

    Uploaded by

    Sabrina Price
    31 views2 pages

    Original Title

    ACORN Assessment Tool

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    © © All Rights Reserved

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    31 views2 pages

    ACORN Assessment Tool ACORN Eating Disorder Inventory (Page 1 of 2)

    Uploaded by

    Sabrina Price

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Name: _______________________

    DOB: _______________________

    ACORN Assessment Tool

    ACORN Eating Disorder Inventory

    (Page 1 of 2)
    (Check all that apply)

     1. I think I am fat, even when friends, family, or health professionals say I am


    not.
     2. I avoid foods which I think have fat in them almost entirely or I am repulsed
    by them.
     3. I eat much more slowly and/or much less than others eat.
     4. I have lost my period or my interest in sex.
     5. I feel like I am in control when I am fasting or restricting food intake.
     6. I almost never eat anything without estimating how many calories I am eating.
     7. I assume that being very thin is an important value in life. The thinner the
    better.
     8. I have tried to eat more food to sustain a healthy weight and have been unable
    to continue doing so.
     9. I think that being too thin is not as bad as being too fat.
     10. I have gotten light headed or weak from not eating or restricting my food.
    ____ # of Checked Boxes from 1-10

     11. I see myself as someone who binges and purges food.


     12. I have increased the number of times I purge by vomiting.
     13. I used diuretics to try to control my weight.
     14. I exercise hard more than an hour a day to control weight and feel deprived or
    guilty when I do not.
     15. I am almost always on a diet.
     16. I used laxatives to get rid of food when I was not constipated.
     17. I have tried to stop purging and have been unable to stay stopped.
     18. I don’t tell my parents, friends, or health professionals how much I binge or
    purge.
     19. I am obsessed with thinking that my body needs to be different or better.
     20. I admit that I have caused myself some physical harm by purging and I still do
    it.

    _____ # of Checked Boxes from 11 – 20

    © Copyright, Philip R. Werdell, 2002, Revised 2009


    Name: _______________________
    DOB: _______________________

    ACORN Eating Disorder Inventory

    (Page 2 of 2)
    (Check all that apply)

     21. I eat when I am not hungry.


     22. I sometimes eat much faster and/or much more than others eat.
     23. I isolate from others so that I can eat the way I want.
     24. I graze or snack frequently between meals.
     25. I sometimes think I will eat moderately and then eat much more than I
    expected to eat.
     26. I use food to numb difficult feelings.
     27. I have tried to stop bingeing and been unable to stay stopped.
     28. I am obsessive in the way I think about food.
     29. I think weight causes me serious physical and social problems and I still
    overeat.
     30. I can overeat on almost any food.

    ____ # of Checked Boxes from 21 – 30

    If you checked:

    Three or more in 1-10, you have symptoms of anorexia;

    Three or more in 11-20, you have symptoms of bulimia;

    And three or more in 21-30, you have symptoms of binge-eating disorder and/or
    possibly food addiction.

    If you have checked five to ten in any category, your eating disorder is advanced
    and very serious.

    © Copyright, Philip R. Werdell, 2002, Revised 2009

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