This survey opens by asking how often respondents feel they lose control over their eating, then moves through physical symptoms after meals, and a rated scale for compensatory behaviors — giving the healthcare provider a concrete picture of frequency and physical impact before asking anything more personal. The "How would you describe your current feelings or thoughts about your body image?" question then invites the respondent's own words, followed by mood and energy changes and an open-ended space for primary concerns about eating patterns. The survey closes with the "Approximately how long have you been experiencing these concerns about your eating patterns?" question, which helps the provider understand the timeline for assessment. After submitting, respondents see a confirmation screen thanking them and explaining their answers will feed directly into their assessment and care plan.
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Relies on every question — especially the duration, compensatory behaviors rating, and open-ended body image and concerns questions — to build a structured pre-assessment picture of each patient.
Uses the physical symptoms and compensatory behaviors questions alongside mood and energy changes to triage incoming patients and tailor initial care plans.
Draws on the open-ended "How would you describe your current feelings or thoughts about your body image?" and "What are your primary concerns or worries regarding your eating patterns?" questions to guide the first therapeutic conversation.
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