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Introduction:

Eating disorder risk is screened with five short yes or no prompts that flag concerning patterns and suggest a next step. This concise five question eating disorder screening test focuses on recent months and gives a total from zero to five. Most people finish in under one minute and see a clear summary they can discuss with someone they trust.

You provide simple answers and the score adds them up, two to five indicates a positive screen and merits further evaluation, zero or one reads negative and you can recheck if concerns grow. The result summarizes the main signals and shows where food concerns, control, weight change, or body image were endorsed.

For example a person who reports recent rapid weight loss and feeling out of control when eating would score two and receive a positive screen, so the next step is to talk with a clinician or support service.

Use a consistent window of the past few months and choose the option that fits best. There are no right or wrong answers and your responses remain on this device.

A screen does not diagnose and it never replaces professional care. If you feel unsafe or unwell seek help now.

Technical Details:

The SCOFF questionnaire is a five item screen for possible eating disorder risk. The abbreviation expands to Sick, Control, One stone, Fat, Food, mirroring the five prompts implemented here.

The measurement is a set of five binary responses that reflect three content areas. Eating behaviors are captured by self induced vomiting, loss of control, and food preoccupation. Weight change is captured by a recent loss of more than one stone which equals 6.35 kg within three months. Body image is captured by perceiving fatness despite being told one is underweight.

The computation is the simple count of “Yes” answers. That count is the only index used for the overall result, while companion subscores summarize behavior, weight change, and body image for context. Classification follows a single threshold. A total of two or more is a positive screen and a total of zero or one is negative. A near threshold note appears at one to highlight closeness to the cut point.

s = i=1 i5 vi
Symbols and units used in the computation
Symbol Meaning Unit/Datatype Source
vsickvsick Self induced vomiting after overeating 0 or 1 Input
vcontrol Loss of control when eating 0 or 1 Input
vweight Recent loss > 1 stone in three months (6.35 kg) 0 or 1 Input
vimage Feeling fat despite being told one is underweight 0 or 1 Input
vfood Food dominates life 0 or 1 Input
s Total “Yes” count Integer 0–5 Derived
Worked example
s = v+ v+ v+ v+ v 0+1+1+0+0 s = 2

Two indicates a positive screen. The result highlights behavior and weight change as the primary signals and suggests seeking a professional evaluation.

Threshold bands and interpretation
Threshold band Lower bound Upper bound Interpretation Action cue
Negative 0 1 No current indication based on the five prompts Recheck if concerns grow
Positive 2 5 Possible eating disorder risk flagged Seek a professional evaluation

Subscores summarize domains for context. Behavior is the sum of vomiting, loss of control, and food preoccupation with a range of 0–3. Weight change reflects the one stone item and ranges 0–1. Body image reflects the fatness perception item and ranges 0–1.

Units and rounding are simple. Inputs are binary selections and totals are integers, so no rounding rules or decimal separators are applied.

Validation rules and bounds from the implementation
Field Type Min Max Step/Pattern Error text Placeholder
Five responses Radio, Yes/No 5 5 All items required for results Results held until all answered
Response code in URL (r) String 5 chars 5 chars Pattern [01-]{5} Invalid codes are ignored
Input and output formats
Input Accepted families Output Encoding/Precision Rounding
Five Yes/No responses Interactive selection Total score, band, summary Integer 0–5 None
Encoded responses (r) 0, 1, or - per item State restoration via URL Five characters Exact match only
Answer exports CSV copy or download, DOCX Tabular answer list Text file or document Not applicable

Networking and storage behavior is constrained. Scoring and summaries run on the device and the implementation does not transmit responses to a server. The page may load client assets, but answering the items does not send data.

Privacy and compliance notes: No data is transmitted or stored server‑side. Results are informational and do not constitute a clinical diagnosis.

Assumptions & limitations

  • Binary responses may miss nuance and frequency.
  • The three month weight change window is self reported.
  • Near threshold is a convenience note, not a clinical band.
  • Subscores are descriptive and do not affect classification.
  • All five items must be answered for results to appear.
  • Heads‑up The URL code can reflect answers if the link is shared.
  • Exports create local files; manage them securely.
  • The tool screens for possible risk and cannot confirm diagnosis.

Edge cases & error sources

  • Leaving any item unanswered holds the results panel.
  • Using a time window outside the past few months changes interpretation.
  • Misreading one stone can misclassify weight change.
  • Rapidly toggling answers may delay the progress update briefly.
  • Clipboard access may be denied by the browser for Copy CSV.
  • Downloads can be blocked by pop‑up settings for CSV or DOCX.
  • Invalid URL codes are ignored and answers are not restored.
  • Resizing during chart rendering may require a redraw.
  • Dark mode contrast can affect perceived emphasis.
  • Shared links can reveal responses; avoid sharing if confidentiality is required.

Step‑by‑Step Guide:

Eating disorder risk is summarized from five short responses to a clear score and band.

  1. Read the brief instructions, then start.
  2. Answer each prompt for the past few months.
  3. Use the question list to revisit and edit any response.
  4. Review the total score, the band, and the short interpretation.
  5. Optionally copy or download answers as CSV, or export a DOCX.
  6. Consider the suggested next steps based on your result.
Example: Yes to weight change and food dominance yields 2 of 5 and a positive screen with guidance to seek a professional evaluation.

Finish all five items to see your result and suggested next actions.

FAQ:

What does my score mean?

Two to five indicates a positive screen that merits further evaluation. Zero or one is negative. A one may be labeled near threshold to note proximity to the cut point.

Is any data stored or uploaded?

No. Responses are processed on the device and are not sent to a server. The URL can include a short code for your answers, so avoid sharing the link if you prefer privacy.

What units does “one stone” use?

The weight‑loss item uses more than one stone in three months, which equals 6.35 kg. Answer based on your recent change, not lifetime change.

Can I use it without a connection?

Scoring runs locally and answering does not send data. If the page is already loaded, results will compute without a connection. Some assets may require an initial load.

Can I export or print my answers?

Yes. You can copy answers as CSV, download a CSV file, or export a DOCX summary. Exports are created on the device and you control any sharing or printing.

How do I share my result?

Use the CSV or DOCX export to share selectively. The URL may encode your responses for convenience; only share the link if you are comfortable revealing them.

Is this a diagnosis?

No. It is a brief screen. Results do not constitute a clinical diagnosis or treatment plan. If you have concerns, talk with a qualified health‑care professional.

How is the total calculated?

Each “Yes” counts as one. The five items are added for a total from 0 to 5. Subscores for behavior, weight change, and body image are shown for context.

Troubleshooting:

  • No result after answering four items — finish all five.
  • Gauge missing — ensure JavaScript is enabled and reload the page.
  • Copy CSV fails — grant clipboard permission and retry.
  • Download blocked — allow downloads or disable pop‑up blocking for this page.
  • URL code ignored — ensure it matches the five character pattern.
  • Numbers look wrong — confirm the time window and read each item carefully.

Advanced Tips:

  • Tip Use the same recall window each time to compare runs fairly.
  • Tip If your total is one, repeat the screen soon to watch for change.
  • Tip Capture any concerns or patterns in a short note to discuss later.
  • Tip Use exports to share only what you choose, not the live page.
  • Tip Revisit the question list to adjust any response after reflection.
  • Tip Keep device privacy features enabled when working with sensitive topics.

Glossary:

SCOFF
Five item eating disorder screen named for Sick, Control, One stone, Fat, Food.
Positive screen
A total of two or more “Yes” answers.
Near threshold
A total of one, noted as close to the cut point.
Subscore
A small domain total for behavior, weight change, or body image.
One stone
Weight unit equal to 6.35 kg used in the weight loss item.
Response code (r)
A five character string that encodes answers for state restoration.