"I use your handouts every day in my work with clients, and often refer my clients to your website. Thanks so much for all you've done!

Lisa D., NY, NY

"I love the worksheets because they help me get back into balance.  The hunger/fullness worksheets remind me that it's about how I feel, and take me back to a more natural process of eating, moving me away from being obsessed with measuring calories.  It's never easy, but this makes it easier when I start finding myself thinking too much about it." 

LL, Studio City, CA

Eating Disorders Assessment and Treatment Tools

This packet contains 22 pages of camera-ready handouts (15 different handouts) designed for use by professionals to evaluate and treat eating disorders and disordered eating. 

Handouts include: 

• Nutrition Assessment (4 pp) - Useful with any clientele, but addresses specific issues which highlight disordered eating--addresses food, weight and eating behaviors, highlights eating disordered symptoms, “good” and “bad” days, etc. In Word format so it can be altered to fit your needs.
• Nutrition Assessment for RD - A one page nutrition assessment form for use during the intake interview. This is a very simple form that I have found useful over the past 15 years. In Word format so that you can adjust it as needed.
• Authorization/Release Form (Informed Consent)- To obtain and release confidential information. In Word format so business name, address, etc., can be added.
• “Core Minimum” - Eating guidelines with a relaxed approach to food groups and portion sizes. A loose rendition of an exchange list meal plan.
• Meal Patterns Guide - To plan suggested meal pattern with space for two sample meals.
• Meal Options Form - To plan daily food options for meals and snacks for a week.
• Food Journals - Three food diaries highlighting the “Core Minimums.” 
  • Hunger/Satiety Food Journal - Advanced journal focuses on hunger/satiety.
  • Personal Food Inventory - Basic food journal, helpful when client is overwhelmed, is overly obsessive about keeping records, or when evaluating nutrient intake.
  • Lifestyle Diary - Basic behavior modification food journal looking at where, when, what, how much, and with whom a client is eating. Useful beginner’s diary.
• How To Use The Food Journals - A “How To” for clients using the various food journals.
• Food Acceptance / Fears Survey (4pp) - Assess clients relationship with a variety of foods.
• Nutrition Therapy Progress Note - This quick and easy form is completed with information on your session to provide the referring therapist, doctor, etc., with immediate feedback. In Word format so that you can personalize.
• Behavior Change Contract - Client agreement for accomplishing goals with weekly outline to record progress.
• Affirmative Action Contract - Expanded agreement utilizing affirmations.
• Permission To Tape - To secure permission to tape counseling session for supervision and review.

These are basic handouts, nothing fancy. But highly effective. Considering what your time is worth, a bargain at just over $1 per page!

Permission is given to reproduce all 15 camera ready forms (22 pages) for educational purposes.

Pricing

To Order

Moving Away from Diets can be ordered directly from Gurze, or ordered using the order form.

The handouts can only be ordered using the order form. A discount is offered when both Moving Away From Diets and those handouts are ordered together.

All handouts delivered via email, so make sure you write clearly on the order form!

And free...download some of the handouts such as the Hunger/Satiety Food Journal for your own use, or to use with clients.