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By Ashley Besecker, RDN, CD

Nutrigenomic Specialist

Thu Oct 31, 2019

Photo by Dan Gold from Unsplash

Body weight, body composition, and body image can be heavy on the minds of some athletes. Setting nutrition, performance, and weight goals are great, but are your goals driving you to have an unhealthy relationship with food? This quick self-assessment, based on the SCOFF, will give you some insight about your relationship with food.

Background on the SCOFF

The S.C.O.F.F. was developed by British researchers as a screening tool for eating problems in a primary care setting (Perry et al., 2002). “SCOFF” is an acronym with each letter representing one of the five “yes/no” screening questions. Write down your answers to each question. Give yourself one point for every question you answer with a “yes”.


    1. Do you make yourself sick because you feel uncomfortably full?
    2. Do you worry you have lost control over how much you eat?
    3. Have you recently lost more than 15 pounds (one stone) in a three-month period?
    4. Do you believe yourself to be fat when others say you are too thin?
    5. Would you say food dominates your life?

Scoring the SCOFF

Answering “yes” to two or more of the questions indicates it is “quite likely” the respondent has an eating problem. Anyone scoring a two or higher should seek an evaluation by a qualified professional, preferably someone with a background in assessing eating concerns.


Perry, L., Morgan, J. Reid, Brunton, J., O’Brien, A., Luck, A., & Lacey, H. (2002). Screening for symptoms of eating disorders: Reliability of the SCOFF Screening Tool with written compared to oral deliver. International Journal of Eating Disorders, 32, 466-472.


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