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Exit Survey
 
 
Are you male or female?
 
Male
 
Female
 
 
 
How old are you?
 
16
 
17
 
18
 
Other
 
 
 
 
Would you change a part of your body if you could?
   
If yes, please specify (can be more than 1)
   
 
 
 
Have you ever been on a diet?
 
Yes
 
No
 
 
 
Do you think there are pressures on young people (both boys and girls) to look a certain way?
 
Yes
 
No
 
 
 
If yes, what do you think influences these ideas? (specify 1 or more)
   
 
 
 
If you could look like anyone, who would it be and why?
   
 
 
 
What is anorexia nervosa and bulimia nervosa?
   
 
 
 
Who do you think is most effected by eating disorders (males or females)? Why?
   
 
 
 
Who do you think is most effected by eating disorders?
 
8-12 years
 
13-16 years
 
16-24 years
 
24-30 years
 
Other