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  2. 2016
  3. March
  4. M
  5. Masculinity
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Exit Survey
 
 
To help us keep track of our sample of participants, please provide your...
 
 
 
Sex
 
Male
 
Female
 
Other
 
 
 
The sex you are interested in
 
Men
 
Women
 
Both
 
Other
 
 
 
Ethnicity
 
White
 
Hispanic or Latino
 
Black or African American
 
Native American or American Indian
 
Asian / Pacific Islander
 
Other
 
 
 
Descriptive/Spacer Text Here
 
 
 
How many times a week do you workout?
 
1 to 2 days
 
3 to 4 days
 
5 to 6 days
 
7 days
 
 
 
Are you satisfied with your physical appearance?
 
Yes
 
No
 
Do not wish to answer
 
 
 
Have you ever used any kind of muscle building protein or supplement?
 
Yes
 
No
 
 
 
 
 
 
FILL IN
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
I feel that men are weak when they cry.
I cry.
I feel ashamed when I cry.
I do not want others to see me cry because I fear that they will think I am weak.