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  1. Surveys
  2. 2016
  3. December
  4. B
  5. Body Image
0%
Exit Survey
 
 
Are you male or female?
 
Male
 
Female
 
Other
 
 
 
What is your age range?
 
Under 13
 
13-15 years
 
16-17 years
 
18+ years
 
 
 
How important is your appearance to you?
 
Very Important
 
Fairly Important
 
Slightly Important
 
Not Important
 
 
 
Rank the following features in order of importance in relation to body image:
Weight
Smile and Facial Features
Height
Body Shape
Skin Quality
 
 
 
Would you say the pressures of body image affect you?
 
Yes
 
No
 
 
 
What do you think is the biggest cause of your body image concerns?
 
Pressure from friends
 
Social media and other forms of media
 
Pressure from family
 
My own perception of my body
 
Other
 

 
 
 
Do you ofter compare your body to those of others?
 
Yes
 
No
 
 
 
Have you ever changed your diet to change the way you look?
 
Yes - to gain weight
 
Yes - to lose weight
 
Yes - to gain muscle
 
No
 
Other
 
 
 
 
Which feature(s) of your body are you most dissatisfied with (Select all that apply)?
 
Height - too small
 
Height - too tall
 
General weight - want to lose weight
 
General weight - to gain weight
 
Legs
 
Thighs
 
Arms
 
Shoulders
 
Stomach/abs
 
Musculature (want to gain muscle)
 
Hips
 
Chest
 
Breasts - too large
 
Breasts - too small
 
Other
 

 
 
 
How confident were you doing this survey?
 
Highly confident
 
Fairly confident
 
Slightly confident
 
Not confident