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Surveys
2012
February
T
Teenagers and Body Image
Teenagers and Body Image
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Q1: Are you male or female?
Male
Female
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Q2: How important to you is your appearance?
Very important
Moderately important
Slightly important
Not important
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Q3: Would you say the pressures of body image (looking a certain way) affect you?
Yes
No - SKIP TO Q7
Q4: What do you think is the biggest cause of your body image concerns?
My own perception of my body
Peer pressure
Pressure from family
The ideals of the media (magazines, tv, etc.)
Other
Q5: Which of these do you relate to most as an effect of body image?
Being insecure around people
Embarrassment
Gaining motivation to exercise, eat healthier, etc.
General unhappiness
Lowered self worth
Undesirable to the opposite sex
Other (please specify)
Q6: Do you often compare your body to those of others?
Yes
No - SKIP TO Q
Q7: Against whom do you most often compare your body?
Actors/actresses
Athletes
Friends
Models
Other (please specify)
Q8: Have you ever gone on a diet to change the way you look?
Yes, to lose weight
Yes, no gain weight
Yes, to gain muscle
No
Other (please specify)
Q9: Which feature(s) of your body are you most dissatisfied with? SELECT A MAXIMUM OF TWO.
Arms
Breasts - too large
Breasts - too small
Chest
Height - too tall
Height - too short
Hips
General weight - want to lose weight
General weight - want to gain weight
Legs
Musculature (want to gain muscle)
Shoulders
Stomach/abs
Thighs
Other (please specify)
Q10: Who/what do you think the idea of "the perfect body" is more influenced by?
Peers of the opposite gender
Peers of the same gender
The media (magazines, tv, etc)
Other (please specify)
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