What is the SCOFF questionnaire?
SCOFF is a five-question screen for anorexia and bulimia nervosa. Each “yes” scores 1 point.
- Sick: do you make yourself sick because you feel uncomfortably full?
- Control: do you worry you have lost control over how much you eat?
- One stone: have you recently lost more than one stone in 3 months?
- Fat: do you believe yourself to be fat when others say you are too thin?
- Food: would you say food dominates your life?
Interpretation
A score of 2 or more suggests a possible eating disorder. Assess weight, BMI, observations and bloods. Refer to a community eating disorder service (NICE NG69).
Do not use BMI alone to decide on referral.