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Eating Disorders · 1 min · 5 questions

SCOFF: SCOFF Questionnaire

Five yes/no questions about eating and body image. About 1 minute.

Medical disclaimer: this is a validated screening questionnaire, not a diagnostic test. Only a qualified health professional can diagnose a condition. Your answers are processed in your browser and are never sent or stored.

SCOFF: 0 of 5 answeredScore: 0 / 5 · Negative screen

Please answer yes or no to each question.

  1. 1.Do you make yourself Sick because you feel uncomfortably full?
  2. 2.Do you worry that you have lost Control over how much you eat?
  3. 3.Have you recently lost more than One stone (14 lb / 6.4 kg) in a 3-month period?
  4. 4.Do you believe yourself to be Fat when others say you are too thin?
  5. 5.Would you say that Food dominates your life?

SCOFF result

Answer all 5 questions for a complete result. Current partial score shown.

0
out of 5
Negative screen
Range 0–1

Your responses make an eating disorder less likely, though a negative screen does not rule one out.

Recommended next steps

  • If eating or body image concerns you, raise it with a doctor anyway.

Answer the remaining questions to enable the report:

  • SCOFF:

Screening result only, not a diagnosis. Share it with a doctor or therapist.

SCOFF scoring guide

ScoreInterpretationSuggested action
0–1Negative screenIf eating or body image concerns you, raise it with a doctor anyway.
2–5Positive screenSpeak with a doctor; early treatment of eating disorders greatly improves outcomes.

Clinical background

What it measures

The SCOFF is a five-question screening tool for anorexia and bulimia nervosa, designed for use in primary care and by non-specialists. Its name is an acronym of key words in the five questions (Sick, Control, One stone, Fat, Food).

How it is scored

Each 'yes' scores 1 point. Two or more points indicates a likely eating disorder, with high sensitivity in validation studies (Morgan et al., 1999). A positive screen should lead to a detailed assessment.

Reference: Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319(7223):1467–1468.