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Signs and Symptoms of depression

[x] Sadness or an ‘empty’ mood

[x] Feeling guilty, worthless, or helpless

[x] Problems Concentrating, remembering or making decisions

[x] Change in eating habits and/or weight changes

[x] Feeling Hopeless

[x] Lack of energy or feeling tried and ‘slowed down’

[x] Problems with sleep: trouble getting to sleep, staying asleep, or sleeping to much

[x] Easily angered or irritable

[x] Wanting to be alone or spending much more time alone

[x] Loss of interest or pleasure in hobbies and activites, including sex, that were once enjoyed.

Damn, this ain’t good.

Eating Disorder Survey

CURRENTLY:

[] anorexic
[] ednos (BED)
[] bulimic
[] living off diet pills
[] hungry
[x] thirsty
[] drinking something
[x] Under 100lbs
[] fasting/starving myself
PEOPLE:
[] ask ASKED if I’m anorexic/bulimic
[] have called me fat
[] have said I’m skinny
[] have said I’m ugly
[] have said I’m pretty
[x] spread rumors about me
[x] forced me to eat
[] say I eat too much
[x] wish I’d eat more
[] don’t know I’m anorexic/bulimic/ednos
I WISH:
[] I was THIN
[] I had a better body
[] I didn’t have to eat
[x] I could control myself
[] I was under 110lbs
[] I could avoid food
[] I could hide what I am
[] I wasn’t fat
[] I was pretty
[] I could stop being anorexic/bulimic/ednos
I LOVE:
[] feeling hungry
[] seeing a difference when fasting
[] shaking
[] feeling airy
[] losing weight
[] being anorexic/bulimic
[] green tea
[] diet pills
[] being able to turn down food
[] feeling good about myself
APPEARANCE:
[x] I am shorter than 5’4
[x] I think I’m ugly sometimes
[] I have many scars
[] I wish my hair was a different colour
[] I have friends who have never seen my natural hair colour
[] I have a tattoo
[x] I am self-conscious about my appearance
[] I have/had braces
[] I wear glasses
[] I would get plastic surgery if it were 100% safe, free of cost, and scar-free
[] I’ve been told I’m attractive by a complete stranger.
[] I have more than 2 piercings
[] I have piercings in places besides my ears
[] I have freckles
FAMILY:
[x] I’ve sworn at my parents
[x] I’ve run away from home
[] I’ve been kicked out of the house
[] My biological parents are together
[] I have a sibling less than one year old
[x] I want to have kids someday
[] I’ve had children
[] I’ve lost a child
[] I can’t have children
RELATIONSHIPS:
[x] I’m single
[] I’m in a relationship
[] I’m engaged
[] I’m married
[] I’ve gone on a blind date
[] I’ve been the dumpee more than the dumper
[] I miss someone right now
[] I have a fear of abandonment
[] I’ve cheated in a relationship
[] I’ve gotten divorced
[x] I’ve had feelings for someone who didn’t have them back
[] I’ve told someone I loved them when I didn’t
[] I’ve told someone I didn’t love them when I did
[] I’ve kept something from a past relationship
[] I’ve been ‘the other woman’
SEXUALITY:
[] I’ve had a crush on someone of the same sex 
[] I’ve had a crush on a teacher
[x] I am a cuddler
[] I’ve kissed in the rain
[] I’ve hugged a stranger
[] I have kissed a stranger
BAD TIMES:
[] I’ve consumed alcohol
[x] I regularly drink
[] I can’t swallow pills
[] I can swallow numerous pills at a time without water
[x] I have been diagnosed with clinical depression
[x] I shut others out when I’m upset
[] I take anti-depressants
[] I’m anorexic or bulimic or have EDNOS
[] I’ve slept an entire day when I didn’t need it
[x] I’ve hurt myself on purpose
[] I’m addicted to self harm
[x] I’ve woken up crying
[x] I’ve lost weight
[] I’ve gained weight
[] My weight holds me back
[] Weight consumes me
[x] I’m at my thinnest
[] I’m at my biggest
[] I’ve lost weight and kept it off
[] I’ve lost weight but gained it back
[] My weight affects my mood
[] I weigh myself daily
[] I am jealous of everyone smaller than me
[x] I thrive on compliments
[] I feel bigger than people who are my size
[] I feel happy when I’m hungry
[] I get depressed after I eat
[x] I’ve skipped a meal
[x] I’ve thrown food away
[x] I’ve spit food out
[] I’ve fasted
[] I’ve taken diet pills
[] I’ve used laxatives
[] I’ve purged
[] I exercise
[] I exercise so I can eat
[] I work out secretly
[] I work out daily
[] I’ve fainted from exhaustion
I’VE DONE:
[] Weed
[] Cigarettes
[] Alcohol
[] Diet pills
[x] Pain killers
[] Sleeping pills
[] Anti-depressants
[] Ecstasy
[] LSD
[] Mushrooms
[] Speed
[] Cocaine
[] Other
HABITS:
[] I keep my eating habits a secret
[] I look at thinspo
[] I collect thinspo
[] I count calories
[] I’ve had negative intake days
[x] I avoid food
[x] I hate food
[] I love food
[] I want to be this way
[x] I don’t want to be like this
[x] I wish I could have more control
[] Being thin is my top priority
[x] I am in treatment
[] I’m doing this for me
[] I’m doing this for someone
[] I’m doing this to prove myself

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