CDEs
Forms
6Mo D control loss EDDS
3Mo D control loss EDDS
During these episodes of overeating and loss of control did you eat much more rapidly than normal [EDDS]
During these episodes of overeating and loss of control did you eat until you felt uncomfortably full [EDDS]
During these episodes of overeating and loss of control did you eat large amounts of food when you didn't feel physically hungry [EDDS]
During these episodes of overeating and loss of control did you eat alone because you were embarrassed by how much you were eating [EDDS]
During these episodes of overeating and loss of control did you feel disgusted with yourself, depressed or very guilty after overeating [EDDS]
During these episodes of overeating and loss of control did you feel very upset about your uncontrollable overeating or resulting weight gain [EDDS]
How many times per week on average over the past 3 months have you made yourself vomit to prevent weight gain or counteract the effects of eating [EDDS]
How many times per week on average over the past 3 months have you used laxatives or diuretics to prevent weight gain or counteract the effects of eating [EDDS]
Fasted - times / W EDDS
Exercised times / W EDDS
Body weight
Body height --standing
Missed menstrual periods EDDS
Birth control pills past 3Mo EDDS
Agency patient number [CMS Assessment]
Photographer ID
Retinal digi photog model Model #
Eye fields photo R eye Ret dig photog
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