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  2. 2016
  3. November
  4. B
  5. Body Image 1
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Questions marked with a * are required Exit Survey
 
 
* Rate how you feel about your hair using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
 
* Rate how you feel about your lips using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your shoulder width using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your arms using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your waist using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
Rate how you feel about your legs using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your level of body fat using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your figure using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings
 
 
 
* Rate how you feel about your physical strength using the scale below.

1 = Have strong negative feelings, 2 = Have moderate negative feelings, 3 = Have no feeling one way or the other, 4 = Have moderate positive feelings, 5 = Have strong positive feelings