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Are you a male or female?
 
Male
 
Female
 
 
 
How old are you?
 
 
 
 
How important to you is your appearance?
 
Important
 
Slightly important
 
Not important
 
 
 
Does media effect the way you feel about your appearance?
 
Yes
 
No
 
 
 
Do your friends and family influence the way you feel about yourself?
 
Yes
 
No
 
 
 
Does the opposite sex influence the way you see yourself?
 
Yes
 
No
 
 
 
Are you comfortable with your own appearance?
 
Yes
 
No
 
 
 
Are you on a sports team?
 
Yes
 
No
 
 
 
How many hours a week do you partake in physical activity? Such as working out, sports practice, etc.
 
1-3
 
4-6
 
7+