1. Age
*
2. Gender
*
Please Select
Male
Female
Non-Binary
3. Race / Ethnicity
*
Please Select
White
Non-Hispanic Black
Hispanic/Latin
Asian
Other/Mixed
Prefer Not to Say
4. Highest Level of Education
*
Please Select
Less than High School
High School
Some College
College
Graduate School
5. Parent's Highest Level of Education
*
Please Select
Less than High School
High School
Some College
College
Graduate School
Don't know
6. Weight (estimated) and Height
*
Weight indicated above is:
*
Estimated
Measured on scale
7. Lowest Adult Weight
*
8. Highest Adult Weight (excluding pregnancy)
*
Weight Range
9. Do you identify as having a current or previous Alcohol Use Disorder?
*
Yes
No
Alc. Calc
10. Do you identify as having a current or previous Substance Use Disorder?
*
Yes
No
Drug Calc
11. Do you Smoke? (daily)
*
Yes
No
Smoke Calc
12. Do you Vape? (daily)
*
Yes
No
Vape Calc
13. Estimated number of hours of sleep per night (on average)
*
14. What percentage of the day do you spend thinking about food?
*
Please Select
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
15. What percentage of the day do you spend thinking about your body?
*
Please Select
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
PID
*
LAWKgs
HAWKgs
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