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About This Survey


Author: getlowjustinex
Created: May 18, 2009
Taken: 64 times
Rated: G

Survey Tags - Tag Cloud


anorexia   bulemia   eating disorder   weight  

Eating Disorder

Created by getlowjustinex and taken 64 times on Bzoink
Click to view users that took this survey

Name:
Age:
Height:
Weight:
Highest weight:
Lowest weight:
Current weight:
When did your eating disorder start:
What is your goal weight:
Do you want to recover:
Does anyone know about your eating disorder:
Are you depressed:
Do you Self Injure:
Do you have a lot of friends:
Do you think you need help:
Do you often feel lonley:
Are you pro-ana/mia:
So you have any other mental problems:
If you could change one thing about yourself what would it be:
Do you know anyone else with a eating disorder:
Do you look at thinspos:
have any brothers or sisters:
Have you ever thought of sucide:
What's your favorite color:
Do you think you ever will be happy with your body:
What is your BMI:
How many calories do you usually consume in a day:
Do you binge regulary:
Do you purge regulary:
Do you ever feel like giving up: