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Surveys
2013
May
I
Instrument Survey
Instrument Survey
0%
Exit Survey
What was your favorite part about the magazine?
What was your least favorite part about the magazine?
Would you want to prescribe the receive this magazine monthly?
Do you think other people you know would like this magazine?
Please select how often you do the following?
Never
Rarely
Sometimes
Often
Always
Look at or read beauty/ fashion magazines
Look at or read health/ fitness magazines
Look at or read news magazines
How often do you do the following
Never
Rarely
Sometimes
Often
Always
Compare your body to others bodies
compare your body to celebrity’s bodies
Compare your body to models
Workout
How satisfied are you with your body image?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Are you a healthy eater?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Have you ever thought about becoming anorexic or bulimic in order to achieve a certain weight?
Yes
No
Not sure
Is your body image important to you?
Strongly agree
Agree
Neutral
Disagree
Strong disagree
Do you feel pressured to be thin?
Yes
No
Not sure
Do you think the images we see in magazines today directly effect how we feel about ourselves?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Please read each item and indicate how you feel about this part or function of your own body using the following scale:
1 = Have strong negative feelings
2 = Have moderate negative feelings
3 = Have no feeling one way or another
4 = Have moderate positive feelings
5 = Have strong positive feelings
1
2
3
4
5
nose
physical stamina
reflexes
lips
muscular strength
waist
energy level
thighs
ears
biceps
1
2
3
4
5
chin
physical coordination
buttocks
chest or breasts
cheeks/cheekbones
hips
legs
figure or physique
appearance of stomach
face
weight
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