This free survey is powered by
0%
Questions marked with a * are required Exit Survey
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* How old are you?
 
under 13
 
13-15
 
16-18
 
19-20
 
 
 
* What is your race?
 
Black or African American
 
White or Caucasian
 
Latino/Latina
 
Hispanic
 
Asian
 
Other
 
 
 
* Would you say that you use social media frequently throughout your day?
 
Yes
 
No
 
 
How do you feel about your...
Proud Content Neutral Dissatisfied N/A
* Body (general)
* Hair
* Face
* Teeth
* Arms
* Breast
* Belly
* Waist/Hips
* Legs
 
 
 
* Do you think media influences how people view themselves?
 
Yes
 
No
 
 
 
* Do you compare yourself to women/men in the media?
 
Yes
 
No
 
 
 
If yes, which do you use the most?
 
Instagram
 
Snapchat
 
Twitter
 
Facebook
 
 
 
* Have you ever changed something about yourself becuase of something you saw or read abou in the media? (Select all that apply)
 
Changed clothing style
 
Changed hairstyle
 
Bought more makeup
 
Bought less makeup
 
Started a diet
 
Ended a diet
 
Had some type of body constructive surgery
 
Excercised more
 
Developed an eating disorder
 
Recovered from an eating disorder
 
Took weight gain pills/powders
 
Took weight loss pills/powders