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Hello my name is Joanne, I am a year 12 student and Mount Carmel Catholic college and studying Community and Family studies. In this course I am required to complete an independent research project on an issue of my choice . Following I have a survey that has been made on the topic of body image and the perceptions media's unrealistic  body modifications and whether or not they have an effect on an adolescent girls self-esteem. Would be a great help if you could fill out the survey below to help me analysis results and conclusions on my area of interest. All answers will be anonymous. Thank you 
 
 
 
What age group are you apart of?
 
12-14
 
15-17
 
 
 
How many hours would you say roughly in a week that you spend exposed to media? eg. TV, social media,  radio stations
 
0-9
 
10-19
 
20-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70-79
 
80-89
 
Other
 
 
 
 
How would you define body image?
   
 
 
 
How do you feel about your body?
 
Satisfied-move to question 6
 
Unsatisfied
 
 
 
Do you feel media has a role in this? 
 
Yes
 
No
 
 
 
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 media
 
Other, please specify
 
 
 
Which feature(s) of your body are you most dissatisfied with?
 SELECT A MAXIMUM OF THREE.
 
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

 
 
 
* Who/what do you think the idea of "the perfect body" is more influenced by?
 
The media (magazines, tv, etc)
 
Family members
 
Social groups
 
Peers of the opposite gender
 
 
 
* Have you ever gone on a diet to change the way you look?
 
Yes, to gain weight/muscle
 
Yes, to lose weight/muscle
 
No