BES - Binge Eating Scale

Atomic Shrink, Incorporated

818-481-6581

BES – Binge Eating Scale

Welcome. This brief questionnaire helps us understand your relationship with eating. Please answer every item honestly and completely.

Your Information

Full Name

Date of Birth

Below are groups of statements. Read all of the statements in each group and select the one that best describes the way you feel about the problems you have controlling your eating behavior.

By checking this box, I attest that the responses I have provided are true and accurate to the best of my knowledge and belief.

Clicking the button below will open your default email application with a message already addressed to Dr. Story (drstory@atomicshrink.com). Your name, date of birth, and all selected responses will be placed in the body of the email. You must then click Send inside your email application to deliver the results. After you click the button, this form will automatically clear for the next person.

Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge-eating severity among obese persons. Addictive Behaviors, 7(1), 47–55.