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2015
April
H
How Do You View Your Body Image?
How Do You View Your Body Image?
How Do You View Your Body?
0%
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Hello:
You are invited to participate in our survey Do You Suffer From Negative Body Image In this survey, approximately 20 people will be asked to complete a survey that asks questions about your personal thoughts on how you view your body. It will take approximately 5 -10 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 Ariel Huffman at 810-858-2504 or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
Do you consider yourself an ideal body type?
Yes
No
It depends on what your "ideal" body type
Other
Do you feel comfortable in your clothing?
Yes
No
It depends
Do you feel confident when looking in the mirror?
Yes
No
It depends
Select your age range.
-- Select --
13-16
17-20
21-24
25+
Are you male or female?
-- Select --
Male
Female
Prefer not to disclose
After reading a magazine, watching a TV show, or browsing the internet, are you more confident, less confident or indifferent about yourself physically?
More confident
Less Confident
Indifferent
As you've gotten older, are you more or less self conscious about your body appearance?
More
Less
Mutual
Who do you compare your body image to?
Celebrities
Family Members
Friends
Models
Yourself
Other
Do You Identify as African American or other?
Yes - African American
Mixed- With African American
No- Other
How often do you say negative things about your body?
Almost Never
A few times ever so often
Constantly throughout the day
Your saying something negative about your body as your taking this survey
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