Eating Disorder Zine Survey: Treatment Experiences

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* 1. What name/pen name would you like to be credited under in the zine? If you wish to remain completely anonymous, type "NA" or "anonymous."

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* 2. If you're comfortable disclosing, what eating disorder(s) have you struggled with?

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* 3. Do you identify as disabled/someone with a disability? If yes, please tell me what you're comfortable sharing about your disability. In what ways, if any, has your disability effected your eating disorder treatment?

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* 4. Do you feel your race, ethnicity, or cultural background has in anyway effected your access to treatment, a diagnosis, or in anyway effected how you or your eating disorder is perceived? If, so what are some examples?

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* 5. Has your weight, BMI, or body size ever effected your access to eating disorder treatment or a diagnosis? In what ways? Has it impacted how you have been treated in clinical or peer support settings? If so, in what ways?

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* 6. What have been your most positive experiences in treatment?

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* 7. What have been your most negative experiences in treatment?

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* 8. Do you feel that your gender identity or sexual orientation has in anyway affected your access to treatment, or your experience in treatment, such as how you were treated by staff or patients/ housing in inpatient and residential programs?

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* 9. What do you wish more people knew about eating disorders?

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* 10. Please share anything else you would like us to know about your eating disorder and/or experiences in treatment.