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  1. Surveys
  2. 2015
  3. January
  4. B
  5. Body Image in Teens
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You have been chosen to participate in this survey to assess how teens in the Ada area feel about body image. In this survey, approximately 200 teenagers will be asked to complete a survey that asks questions about body image (the way one perceives oneself) and self-worth. It will only take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Latta FCCLA at (580) 310-8444. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
* Q1: What is your gender?
 
Male
 
Female
 
I identify with a different gender
 
 
 
* Q2: How important to you is your appearance?
 
Very important
 
Moderately important
 
Slightly important
 
Not important
 
 
 
* Q3: Do you feel any pressure that causes a negative impact upon your body image (the way you see yourself)?
 
Yes
 
No (SKIP TO Q6)
 
 
 
Q4: What do you think is the BIGGEST cause of your body image concerns?
 
Peer pressure
 
Pressure from family
 
The ideals of the media (TV, magazines, etc.)
 
My own perception of my body
 
Other
 
 
 
 
Q5: Which of these do you relate to most as an effect of body image?
 
Being insecure around other people
 
Embarrassment
 
Gaining motivation to exercise, eat healthier, change for the better, 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 Q8)
 
 
 
Q7: Against whom do you most often compare your body?
 
Actors/actresses, celebrities
 
Athletes
 
Friends
 
Other (please specify)
 
 
 
 
* Q8: Have you ever changed your eating/exercise habits or "gone on a diet" to change the way you look?
 
Yes, to lose weight
 
Yes, to gain weight
 
Yes, to gain muscle
 
No
 
Other (please specify)
 
 
 
 
* Q9: Which feature(s) of your body are you most uncomfortable with? SELECT A MAXIMUM OF TWO.
 
Arms
 
Breasts (too large)
 
Breasts (too small)
 
Chest
 
Height (too tall)
 
Height (too short)
 
Hips / waist
 
General weight (I want to lose weight)
 
General weight (I 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 a different gender
 
Peers of the same gender
 
Mass media (TV, magazines, etc.)
 
Other
 
 
Thank you for participating in this survey. Please make sure to answer all questions with complete honesty. All results are anonymous.
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