Checklist – Feed Your Instinct

Feeling

These questions relate to changes in the way a young person is interacting with others.
Have you noticed any of the following?
Increased social isolation or withdrawal	Yes No N/A
Perceiving others to be judgemental	Yes No N/A
Experiencing difficulty talking about emotions	Yes No N/A

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Eating

Wellbeing

Thinking

Feeling

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These questions relate to a young person's food choices, eating patterns and attitudes towards nutrition.
Have you noticed any of the following?
A change in eating pattern, such as skipping meals	Yes No N/A
Eating alone, eating secretly, or having 'rituals' around food or meal times	Yes No N/A
Avoiding family meals or eating with others	Yes No N/A
Hiding, or secretly throwing away uneaten food	Yes No N/A
Leaving the table during a meal and avoiding finishing their food	Yes No N/A
Frequently reporting to have eaten elsewhere, or being dishonest about their eating	Yes No N/A
Limiting the variety of foods eaten	Yes No N/A
Eating according to strict food rules, such as no carbohydrates, or no sugar	Yes No N/A
Suddenly becoming vegetarian or vegan	Yes No N/A
Development of food 'intolerances'	Yes No N/A
A strong preference for 'diet' or 'low fat' products	Yes No N/A
Frequently talking about losing weight, or making comments about being 'fat'	Yes No N/A
Displaying a high level of concern about the calorie content of food	Yes No N/A
A strong focus on what others are eating, interest in cooking or interest in cookbooks without actually eating	Yes No N/A
Evidence of over eating (large amounts of food disappearing from household, hidden wrappers and packaging)	Yes No N/A
Finding it hard to stop eating once they have started	Yes No N/A
A history of 'picky' eating	Yes No N/A
Rigidity around food preparation and eating such as cutting food into tiny pieces, or 'hovering' in the kitchen whilst others are cooking	Yes No N/A
Anxiety, irritability, anger and hostility at mealtimes	Yes No N/A

These questions relate to a young person's physical health and any unhelpful behaviors they may be participating in.
Have you noticed any of the following?
A fluctuation in weight over a few weeks (weight gain or loss)	Yes No N/A
Significant weight change as a result of illness, travel or increased participation in sport and exercise	Yes No N/A
A growth spurt without any weight gain	Yes No N/A
Any evidence of vomiting after meals	Yes No N/A
Excessive, obsessive or ritualistic exercise	Yes No N/A
Having problems sitting still, and standing, twitching or pacing whenever possible	Yes No N/A
Evidence of exercising in secret (e.g. in the middle of the night or in their bedroom)	Yes No N/A
Engaging in intense exercise with no pleasure	Yes No N/A
Exercising to compensate for eating	Yes No N/A
Packets of diet pills or laxatives	Yes No N/A
Constipation, or unexplained stomach pains	Yes No N/A
Cold hands, or feet, or regular complaints of feeling cold	Yes No N/A
Fainting or complaining of dizziness	Yes No N/A
A delayed onset of periods (if female), or a loss of menstrual cycle	Yes No N/A

These questions relate to thinking patterns and personality traits of a young person.
Have you noticed any of the following?
Very low self-esteem	Yes No N/A
Rigid, black and white thinking (e.g. good/bad or right/wrong)	Yes No N/A
Increased perfectionism	Yes No N/A
Body dissatisfaction e.g. a strong conviction they need to be thinner	Yes No N/A
A strong focus on perceived flaws of their body or a particular part of their body	Yes No N/A
Constantly seeking reassurance about body size	Yes No N/A
Obsessive body checking e.g. weighing, pinching, excessive time in front of the mirror	Yes No N/A
An interest in weight loss blogs, websites, magazines, books or images of thin people	Yes No N/A