SCOFF (eating disorder screen)
Five-question eating-disorder case-finding.
What it is for
Suspected anorexia/bulimia. ≥ 2 "yes" → likely eating disorder, assess further.
Use the working calculator
The working SCOFF (eating disorder screen) calculator is on our calculators page. It is free and needs no account. Enter the values and it shows the result with the reading that goes with it.
The calculators are free. The trial opens the protocols and pathways they link to.What you enter
The calculator asks for 5 items.
- S — Make yourself Sick because uncomfortably full? (1 point)
- C — Lost Control over how much you eat? (1 point)
- O — Lost > One stone (6.35 kg) in 3 months? (1 point)
- F — Believe yourself Fat when others say too thin? (1 point)
- F — Would you say Food dominates your life? (1 point)
How the result is read
The result is shown as SCOFF, out of a maximum of 5.
The calculator reads each total as follows. Where a single answer changes the reading (for example sex, age or one extreme value), the working calculator says so.
| Total | Band | What the calculator says |
|---|---|---|
| 0 to 1 | Lower likelihood | Re-screen if concern persists; explore eating attitudes. |
| 2 to 5 | Likely eating disorder | Full assessment (incl. physical risk: BMI, bloods, ECG); refer eating-disorder service. ≥ 2 — sensitive for anorexia/bulimia. Beware SUSS / medical instability. |
Sources
These are the sources the calculator cites. Check the current version before relying on a threshold.
Related
For qualified clinicians. A score supports a clinical decision and does not make it: check the inputs, read the cited source, and use the tools in your clinical system for patient care where one is provided.