CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes No Yes
EATING DISORDERS
(look for symptoms in the past 2 months)
Do you diet or binge eat frequently
If Yes please explain:
Do you sometimes make yourself sick because you are too full
If Yes please explain:
Have you tried to lose weight in any other way e.g. exercising/using
laxatives
If Yes please explain:
Do you think that you are fat or overweight
Do other people think the same
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
78 | P age