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Surveys
2014
May
B
Body Image
Body Image
Body Image Survery
0%
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Age
Sex
-- Select --
Male
Female
I constantly compare my body to the bodies of those around me.
All of the time
Most of the time
Sometimes
Rarely
Never
I steer my conversations to questions regarding body image.
All of the time
Most of the time
Sometimes
Rarely
Never
I feel uncomfortable about my appearance when I…
(Check all that apply)
Exercise
Eat Food
Look in the Mirror
Try on Clothing
Look at Fashion or Fitness Magazines
Weigh Myself
Other
Which of these body parts do you worry about the most? (Check all that apply)
Arms
Hands
Nails
Ankles
Feet
Thighs
Calves
Legs
Hips
Butt
Stomach
Chest/Breasts
Neck
Chin
Lips
Nose
Skin
Eyebrows
Facial Hair
Body Hair
Hair
None of the Above
Other
Which words
often
come to mind when you think about how your body looks? (Check all that apply)
Abnormal
Average
Above Average
Beautiful
Disappointing
Lacking
Normal
Pleasing
Ugly
Weird
Other
How long does it take you to get ready in the morning?
Less than 10 minutes
10-30 minutes
30-60 minutes
Greater than 1 hour
How long (on average) do you spend thinking about how you look each day?
Less than 30 Minutes
30-60 Minutes
1-2 Hours
2-3 Hours
3-4 Hours
4-5 Hours
Greater than 5 Hours
My body image will improve with time.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
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