Are You Resolving to Lose Weight this Year?

Which of these describes the way you feel about your weight?

• I think I weigh too much.
• I think I weigh too little.
• I think I am just right.

Do you feel your life would be dramatically improved if you were at your ideal weight?

• Yes. It would take away that pressure and worry.
• No. It would be nice, but it wouldn't really change anything.
• I feel like I am at my ideal weight.

Which of the following makes you feel pressure to improve your physical appearance?

Please select all that apply.

• Seeing perfect models and celebrities in magazines, tv, and movies.
• The way my pants fit.
• Seeing photos of myself. I pick my flaws out so quickly.
• Hanging out with my "more attractive" friends.
• My parents mentioning I should lose weight.

From this list of celebrities, choose the ones who you think have the most ideal bodies. (Choose from your own gender).

Please select all that apply.

• Paris Hilton
• Beyonce
• Scarlett Johansson
• Nicole Ritchie
• Kelly Osbourne
• Taylor Momsen
• Zac Efron
• Chris Brown
• Bill Kaulitz
• Michael Cera

Do you regularly compare your body to celebrity bodies?

• Yes, constantly, all the time!
• Yeah, I do that a lot, but not all the time.
• Sometimes, it's hard not to.
• Nope, I never do that.

Do you regularly compare your body to your friends' bodies?

• Yes, constantly, all the time!
• Yeah, I do that a lot, but not all the time.
• Sometimes, it's hard not to.
• Nope, I never do that.

If you've resolved to improve the way you look and feel this year, you will do which of the following?

Please select all that apply.

• Eat less.
• Eat more.
• Eat healthier.
• Eat my favorite foods.
• Go on a serious diet.
• Exercise more.
• Start playing a new sport.
• I am happy with the way I look and feel now.

Have you ever been on a diet before?

• Yes, a few different ones with no success.
• Yes, a few different ones, with some success.
• Yes, once.
• No, never.

Are you planning on going on a diet this year?

• Yes, as soon as the holidays are over.
• Actually, I'm on a diet now.
• No, but I plan on being more healthy.
• No, I don't think I need to be on a diet.

How old are you?

• 26+
• 21-25
• 16-20
• 13-15
• 12 or under.

Are you a boy or girl?

• Boy
• Girl