Body Image Survey

Body Image Survey

26 Responses | Created by oli_jkt |

A survey about body image

  1. 1

    Age

  2. 2

    Weight

  3. 3

    Height

  4. 4

    I obsess about my body

  5. 5

    I obsess about food

  6. 6

    I exercise regularly

  7. 7

    I obsess about exercising

  8. 8

    Most of the time I am preoccupied with my weight

  9. 9

    I feel like I'm fat even though others tell me I look fine

  10. 10

    I look at other bodies and compare them to my own

  11. 11

    If I were thin I'd like myself better

  12. 12

    I am satisfied with my current weight and size

  13. 13

    I'm afraid that if I'm not thin I won't be successful

  14. 14

    I'm afraid that if I'm not thin I won't be as likeable

  15. 15

    My friends and family have talked to me about my body image

  16. 16

    My friends influence the way I feel about my body

  17. 17

    If yes, is that influence positive?

  18. 18

    My friends/family have concerns about my eating habits

  19. 19

    I feel guilty after eating

  20. 20

    I think about calories when I eat

  21. 21

    I count calories in my meals often

  22. 22

    I tend to restrain myself from eating and the binge (eat an excessive amount in one sitting)

  23. 23

    I have been on a diet before

  24. 24

    If yes, at what age did you go on your first diet?

  25. 25

    I diet often

  26. 26

    I use laxatives or diet pills to control my weight

  27. 27

    I use another method to control my weight

  28. 28

    I have received help because of an eating issue I have had

  29. 29

    I have felt concerned that I might have an eating issue

  30. 30

    I feel that society pressures women to be thin

  31. 31

    I feel that there is a certain image that women are expected to live up to

  32. 32

    If yes, do you feel like you live up to that image?

  33. 33

    I feel like I'll never live up to that image

  34. 34

    I feel like media impacts the perspective women have about their bodies

  35. 35

    After watching TV, I feel more self-conscious about my body image

  36. 36

    After reading a magazine I feel more self-conscious about my body image

  37. 37

    I feel that the media portrays the average female body correctly

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