1 – Never True
2 – Very Seldom True
3 – Seldom True
4 – Sometimes True
5 – Frequently True
6 – Almost Always True
7 – Always True
¹
1
2
3
4
5
6
7
1
Worrying about my weight makes it difficult for me to live a life that I value.
2
I care too much about my weight and body shape.
3
I shut down when I feel bad about my body shape or weight.
4
My thoughts and feelings about my body weight and shape must change before I can take important steps in my life.
5
Worrying about my body takes up too much of my time.
6
If I start to feel fat, I try to think about something else.
7
Before I can make any serious plans, I have to feel better about my body.
8
I will have better control over my life if I can control my negative thoughts about my body.
9
To control my life, I need to control my weight.
10
Feeling fat causes problems in my life.
11
When I start thinking about the size and shape of my body, it's hard to do anything else.
12
My relationships would be better if my body weight and/or shape did not bother me.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.