| 1. Has feeling bored made you brood about your shape? |
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| 2. Have you been so worried about your shape that you have been feeling you ought to diet? |
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| 3. Have you thought that your thighs, hips, or bottom are too large for the rest of you? |
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| 4. Have you been afraid that you might become fat (or fatter)? |
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| 5. Have you worried about your flesh being not firm enough? |
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| 6. Has feeling full (e.g.. after eating a large meal) made you feel fat? |
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| 7. Have you felt so bad about your shape that you have cried? |
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| 8. Have you avoided running because your flesh might wobble? |
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| 9. Has being with thin women made you feel self-conscious about your shape? |
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| 10. Have you worried about your thighs spreading out when sitting down? |
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| 11. Has eating even a small amount of food made you feel fat? |
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| 12. Have you noticed the shape of other women and felt that your own shape compared unfavorably? |
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| 13. Has thinking about your shape interfered with your ability to concentrate (e.g., while watching television, reading, listening to conversations)? |
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| 14. Has being naked, such as when taking a bath, made you feel fat? |
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| 15. Have you avoided wearing clothes which make you particularly aware of the shape of your body? |
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| 16. Have you imagined cutting off fleshy areas of your body? |
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| 17. Has eating sweets, cakes, or other high-calode food made you feel fat? |
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| 18. Have you not gone out to social occassions (e.g., parties) because you have felt bad about your shape? |
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| 19. Have you felt excessively large and rounded? |
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| 20. Have you felt ashamed of your body? |
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| 21. Has worry about your shape and made you diet? |
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| 22. Have you felt happiest about your shape when your stomach has been empty (e.g., in the morning)? |
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| 23. Have you thought that you are in the shape you are because you lack self-conrol? |
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| 24. Have you worried about other people seeing rolls of fat around your waist or stomach? |
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| 25. Have you felt that it is not fair that other women are thinner than you? |
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| 26. Have you vomited in order to feel thinner? |
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| 27. When in company have you worried about taking up too much room (e.g., sitting on sofa, or a bus seat)? |
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| 28. Have you worried about your flesh being dimply? |
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| 29. Has seeing your reflection (e.g., in a mirror or shop window) made you feel bad about your shape? |
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| 30. Have you pinched areas of your body to see how much fat there is? |
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| 31. Have you avoided situations where people could see your body (e.g., communal changing rooms or swimming pools)? |
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| 32. Have you taken laxatives in order to feel thinner? |
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| 33. Have you been particularly self-conscious about your shape when in the company of other people? |
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| 34. Has worry about your shape made you feel you ought to exercise? |
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