Sunflower Mental Health and Wellbeing

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

SCOFF ( ages 16+)

The SCOFF Questionnaire is a five-question screening tool designed to clarify suspicion that an eating disorder might exist rather than to make a diagnosis. The questions can be delivered either verbally or in written form.

Q1:
Do you ever make yourself sick (vomit) because you
feel uncomfortably full?
*

Yes

Q2:

Do you worry you have lost control over how much
you eat?
*

Yes

Q3:
Have you recently lost more than one stone
(approx 6 kg) in a three month period?
*

Yes

Q4:

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

Yes

Q5:

Would you say that food dominates your life?
*

Yes

Total Score :

Your Height ( CM)

Your Weight (kg)

Further two Questions:

Q1: Are you satisfied with your eating patterns?

Yes

Q2: Are you satisfied with your eating patterns?

Yes

Score Interpretation

An answer of ‘yes’ to two or more questions warrants further questioning and more comprehensive assessment

Kind Reminder

Please go to your GP for further assessment or referral.

This screening assessment couldn't replace the formal medical assessment.

If you want to contact us for further discussion, please email or ring us.

Email: admin@sunflowermentalhealth.com.au

Phone: 0426851396

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms