SCOFF Questionnaire
5 minute Eating Disorder Assessment Tool
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date of birth
Email
example@example.com
Select your therapist
*
Please Select
Bailey Belknap
Ingrid Benyaminowich
Leah Berdysz
Hannah Bickers
Megan Campagna
Eric Clontz
Aida Diallo
Jenny Eller
Lisa Evans
Scott Fralick
Jessica Glover
Lauren Greenberg
Elizabeth Gunther
Melissa Grooms
Pamela Hirt
Kelsey Hoisington
Jessica Jung
Nellimaria LaValle
Liz Mannon
Caitlin Martin
Sara Matlack
Christal Mendenhall
Gina Menninger
Katherine Mullin
Marshall L. Myers
Sara Napp
Anne Price
Jordan Redman
Amber Riley
Jodi Robertson
Hillary Schmidt
Jenifer Sparks-Schaffner
Linda Strapp
Kiera Tigner
MK Wright
SCOFF Questionnaire
This is a screening tool that can be used to identify who may be at risk or have an eating disorder. Please answer all questions.
*
Rows
NO (0) points each
YES (1) point each
S. Do you make yourself Sick because you feel uncomfortably full?
C. Do you worry you have lost Control over how much you eat?
O. Have you recently lost more than One stone (14lbs) in a three-month period?
F. Do you believe yourself to be Fat when others say you are too thin?
F. Would you say that Food dominates your life?
SCOFF, total score
Submit
Should be Empty: