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What is EAT-26?
The EAT-26 (Eating Attitudes Test) is the world's most widely used, validated 26-item scale for screening disturbances in eating attitudes and behaviors (Garner et al., 1982). It assesses areas such as weight and shape concern, restriction, bingeing, and compensatory behaviors. It does not make a diagnosis; a high score signals that a detailed evaluation by a professional would be helpful. In research and clinical practice, it is used as a first step to identify at-risk individuals early.
How is it scored?
Each item is answered with 6 options. On items 1–25, "Always" = 3, "Usually" = 2, "Often" = 1; "Sometimes", "Rarely", and "Never" = 0 points. Item 26 is reverse-scored (Always/Usually/Often = 0; Sometimes = 1; Rarely = 2; Never = 3). The total ranges from 0 to 78:
Item 26 (reverse): Sometimes=1 · Rarely=2 · Never=3 · others=0
Total ≥ 20 → professional evaluation recommended
Source: Garner DM, Olmsted MP, Bohr Y, Garfinkel PE, "The Eating Attitudes Test: psychometric features and clinical correlates", Psychological Medicine, 1982. Threshold: a score of 20 or above is considered a meaningful sign for further evaluation. This tool is for informational purposes and does not make a diagnosis.
What to do if the result shows risk?
- A score is not a label: A high score means "an evaluation may be helpful for you"; it does not define who you are.
- Reach out to a professional: Talk to a physician, psychiatrist, clinical psychologist, or a dietitian experienced in eating disorders.
- Early support works: Eating disorders are treatable; the sooner you start, the easier recovery is.
- Ask for support: Opening up to someone you trust eases the burden and opens the path to help.
- In an emergency (thoughts of self-harm, serious physical symptoms), call 112 or go to the nearest emergency department.
Frequently Asked Questions
No. EAT-26 is a screening test; it indicates risk in eating attitudes but does not make a diagnosis. A diagnosis can only be made through a comprehensive evaluation by a health professional.
On EAT-26, a total score of 20 or above is considered a meaningful sign for further evaluation. Being below the threshold does not fully rule out risk; if symptoms are present, you should still consult a professional.
SCOFF is a very brief pre-screen consisting of just 5 yes/no questions; EAT-26 assesses eating attitudes in more detail with 26 items. Both are for screening and do not make a diagnosis.
Item 26 ("enjoy trying new rich foods") expresses a healthy eating attitude. For the consistency of the scale it is therefore reverse-scored: answering "never" to this statement yields a higher risk score.
Anyone with concerns about food, weight, or body image can use it as an awareness tool. It is widely applied across a broad group, including adolescents and young adults.
Yes. All scoring is done in your browser; your answers are not sent to a server or stored. Only you see your result.