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 » Take Our Men's Online Eating Disorder Assessment

Take Our Men's Online Eating Disorder Assessment

If you are concerned that you or someone you know may be exhibiting traits associated with eating disorder, we encourage you to take our brief, confidential online screening survey. Our simple process involves only you providing us with a valid E-mail address which we may send your results to, and you answering a series of seven questions as they appear.

We do not intend to use your email address for any other purpose. All information provided via to The Bella Vita by any potential client or associate, whether via electronic or written means, is always held to the strictest policies of confidentiality.

E-Mail Address (REQUIRED)

1.) Within the past 6 months, have you had uncontrollable eating binges or restrictive eating patterns?

2.) Within the past 6 months, have you used dieting, steroids, laxatives, drugs (i.e., speed, cocaine, crystal meth), over the counter pills (i.e., muscle builders, appetite suppressants, slimming tea) to influence your weight, body shape or appearance?

3.) Within the past 6 months, have you induced vomiting to control your weight or rid yourself of unwanted calories?

4.) Within the past 6 months, have you exercised in excess to lose weight or build muscle due to being dissatisfied with your body shape?

5.) Within the past 6 months, have you participated in a sport or involved in a profession that demands weight control restrictions?

6.) Within the past year, has your compulsive exercising, body dissatisfaction, eating behaviors or decreased sexual drive negatively impacted a significant relationship?

7.)Within the past year, have you had depression, anxiety, trauma, obsessive-compulsive or psychological issues that have negatively impacted your overall functioning?



Dr. Patricia Pitts is the Chief Executive Officer of The Bella Vita established in 1985. She is a nationally renowned expert in the treatment of anorexia. Read more
Dr. Patricia Pitts is the Chief Executive
Officer of The Bella Vita established in
1985. She is a nationally renowned
expert in the treatment of anorexia.
Read more