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January 23, 2012

Dear Potential Research Participant:

I am a doctoral student in Counseling and Counseling Psychology in the School of Letters and Sciences at Arizona State University working under the supervision of Professor Terence J.G. Tracey, Ph.D.

I am conducting a research study to examine to the relations between U.S cultural standards of the ideal male body image, body dissatisfaction and outcomes of body dissatisfaction among males. I am inviting your participation, which will involve filling out a survey on how you think about culture and about your body. This survey should take approximately 10-15 minutes to complete.

Your participation in this study is voluntary. You can skip questions if you wish. If you choose not to participate or to withdraw from the study at any time, there will be no penalty, nor will it affect your grade in anyway. You must be 18 years or older to participate.

Although there is no benefit to you, possible benefits of your participation are adding to our knowledge base with eventual impact on designing interventions to assist people improve their quality of life. There are no foreseeable risks or discomforts to your participation.

Your responses will be anonymous because you do not have to identify yourself. The results of this study may be used in reports, presentations, or publications but your name will not be known. If applicable, results will only be shared in the aggregate form.

If you have any questions concerning the research study, please contact the research team at: Terence Tracey at 446 Payne Hall, 480-965-6159. If you have any questions about your rights as a subject/participant in this research, or if you feel you have been placed at risk, you can contact the Chair of the Human Subjects Institutional Review Board, through the ASU Research Compliance Office, at (480) 965-6788.


Return of the questionnaire will be considered your consent to participate.


Sincerely,

Elizabeth Poloskov, M.Ed.
Doctoral Student
Counseling Psychology
Arizona State University

Terence J.G. Tracey, Ph.D.
Professor and Program Leader
Counseling and Counseling Psychology
Arizona State University



 
 
Age
   
 
 
 
Sex
 
Male
 
Female
 
 
 
Sexual Orientation
 
Hetersexual
 
Homosexual
 
Bisexual
 
 
 
Height (feet' inches")
   
 
 
 
Weight (lbs)
   
 
 
 
Ethnicity (check one)
 
White (not of Hispanic origin)
 
Black or African American
 
Asian or Asian American
 
American Indian or Alaskan Native
 
Native Hawaiian or Pacific Islander
 
Hispanic/Latino
 
Multi-ethnic (specify)
 
 
 
 
Year in school
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Masters
 
Doctoral
 
 
 
Below are a series of statements about how people may think, feel, and behave. Please indicate the extent to which each statement pertains to you personally. Your answers to the items are anonymous; there are no right or wrong answers so try very hard to be completely honest in your answers.
 
 
Using the scale below, please indicate your answer.
Never Rarely Sometimes Often Usually Always
I think I have too little muscle on my body.
I think my body should be leaner.
I wish my arms were stronger.
I feel satisfied with the definition of my abs (i.e. stomach muscles).
I think my legs are not muscular enough.
I think my chest should be broader.
I think my shoulders are too large.
I am concerned that my stomach is too flabby.
I think my arms should be larger (i.e. more muscular).
I am dissatisfied with my overall body build.
Never Rarely Sometimes Often Usually Always
I think my calves should be larger (i.e. more muscular).
I wish I were taller.
I think I have too much fat on my body.
I think my abs are not thin enough.
I think my back should be larger and more defined.
I think my chest should be larger and more defined.
I feel satisfied with the definition of my arms.
I feel satisfied with the size and shape of my body.
I am satisfied with my height.
Has eating sweets, cakes or other high calorie food made you feel fat or weak?
Have you felt excessively large and rounded (i.e. fat)?
Have you felt ashamed of your body size or shape?
Has seeing our reflection (e.g. in a mirror or window) made you feel badly about your size or shape?
Have you been so worried about your body size or shape that you have been feeling that you ought to diet?
 
Using the scale below, please indicate your answer.
Never Rarely Sometimes Often Usually Always
I eat sweets and carbohydrates without feeling nervous.
I think about dieting.
I feel extremely guilty after overeating.
I am terrified of gaining weight.
I exaggerate or magnify the importance of weight.
I am preoccupied with the desire to be leaner.
If I gain a pound, I worry that I will keep gaining.
 
 
Using the scale below, please indicate your answer.
Never Rarely Sometimes Often Usually Always
I eat when I am upset.
I stuff myself with food.
I have gone on eating binges where I have felt that I could not stop.
I think about bingeing (overeating).
I eat moderately in front of others and stuff myself when they are gone.
I have the thought of trying to vomit in order to lose weight.
 
 
Using the scale below, please indicate your answer.
Completely Disagree Neither Agree nor Disagree Completely Agree
Men who appear in TV shows and movies project the type of appearance I see as my goal.
I believe that clothes look better on muscular models.
I believe that clothes look better on lean models.
Music videos that show muscular men make me wish I were muscular.
Music videos that show lean men make me wish I were lean.
I do not wish to look like the models in magazines.
I tend to compare my body to people in magazines and on TV.
Photographs of muscular men make me wish I were muscular.
Photographs of lean men make me wish I were lean.
I wish I looked like a body builder.
I wish I looked like a runner.
I often read magazines like Mens' Fitness and Muscle & Fitness and compare my appearance to the models.
 
 
Using the scale below, please indicate your answer.
Never Always
I continually increase my exercise duration to acheive the desired effect/benefits.
I exercise to avoid feeling anxious.
I exercise despite persistent physical problems.
I am unable to reduce how often I exercise.
I think about exercise when I should be concentrating on school/work.
I spend most of my free time exercising.
I exercise longer than I plan.
 
 
Using the scale below, please indicate your answer.
Never Always
I continually increase my weight lifting duration to acheive the desired effect/benefits.
I lift weights to avoid feeling anxious.
I lift weights despite persistent physical problems.
I am unable to reduce how often I lift weights.
I think about weight lifting when I should be concentrating on school/work.
I spend most of my free time weight lifting.
I lift weights longer than I plan.
 
 
Using the scale below, please indicate your answer.

How often have you felt this way during the past week?
Rarely or none of the time. Some or a little of the time. Occasionally or a moderate amount of the time. Most or all of the time.
I felt depressed.
I felt that everything I did was an effort.
My sleep was restless.
I was happy.
I felt lonely.
People were unfriendly.
I enjoyed life.
I felt sad.
I felt that people dislike me.
I could not get "going."
 
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