Do you make yourself Sick because you feel uncomfortably full?

Do you worry that you have lost Control over how much you eat?

Have you recently lost more than One stone (14 lb) in a 3-month period?

Do you believe yourself to be Fat when others say you are too thin?

Would you say that Food dominates your life?

**This questionnaire is meant to be a screening tool only and does not replace an extensive history regarding food intake. This does not address ARFID screening. NIH data regarding SCOFF

Are you satisfied with your eating patterns? (A “no” to this question was classified as an abnormal response).

Do you ever eat in secret? (A “yes” to this and all other questions was classified as an abnormal response).

Does your weight affect the way you feel about yourself?

Have any members of your family suffered with an eating disorder?

Do you currently suffer with or have you ever suffered in the past with an eating disorder?

**Excerpt from NIH data comparing SCOFF to ESP for screening “Multilevel analysis demonstrated that the ESP questions were not clearly different from the SCOFF questions at ruling in an eating disorder, but were better at ruling one out.”

Many eating disorders can be triggered when patients see trends in their weight. Even a patient with ARFID, which is not related to fears of weight gain, may be triggered if they do not see their weight increase as much as they would like. Due to the high sensitivity regarding weight, we recommend all patients have blinded weights.

To perform, have the patient turn backwards on the scale. For additional measures of security, we recommend covering the number and keeping the number covered until the patients and family have safely walked away.

First, have the patient lie flat for a minimum of 2-5 minutes while encouraging deep breathing to achieve “resting” vital signs.

Next, obtain both heartrate and blood pressure while lying, then standing at 1 minute and 3 minutes.