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  1. Surveys
  2. 2016
  3. May
  4. B
  5. Body image
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Exit Survey
 
 
You are invited to participate in my survey. In this survey, you will be asked to complete a survey that asks questions about your body image. It will take approximately 1-5minutes to complete the questionnaire. Your participation in this study is completely voluntary. 
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What is your age?
   
 
 
 
Do you generally have a positive sense about your body?
 
Yes
 
No
 
 
 
What is your ideal body image type?
 
Thin, tall
 
Glamorous, sexy
 
Fitted, muscular
 
Small, chubby
 
Fat
 
Other
 
 
 
 
Have you ever skipped a meal to lose weight?
 
Yes
 
No
 
 
 
If you have concerns about your body, what do you think the cause is?
 
Friend
 
Parents
 
Romantic partner
 
Media/SNS
 
Other
 
 
 
 
Does body image affect how you act?
 
Yes
 
No
 
 
 
How long do you spend on checking SNS in a day? (hours)
   
 
 
 
Have you ever felt negative about your body image because of SNS?
 
Yes
 
No