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How important is exercise to you?
 
very important
 
important
 
slightly important
 
not important at all
 
 
 
do you ever feel uncomfortable about your appearance?
 
yes, all the time
 
yes, occasionally
 
yes, but not very often
 
no
 
 
if yes to the last question than in what situation do you feel uncomfortable:
yes, always yes, most of the time sometimes never
When I look at myself in the mirror.
When someone looks at parts of my appearance that I dislike.
When I try on new clothes.
When I get on the scale to weigh myself.
When I think about how I looked when I was younger.
When I am with people who talk about weight or dieting.
 
 
 
Do you often compare your body to those of others?
 
yes
 
no
 
 
 
if so who do you compare yourself too?
 
athletes
 
models
 
actors/actresses
 
friends
 
Other
 
 
 
 
Have you ever gone on a diet to change the way you look?
 
yes to lose weight
 
yes to gain weight
 
yes to build muscle
 
no
 
Other
 
 
 
 
In my mind, the definition of a healthy weight is:
 
Somewhere within the healthy range of a healthy body mass index
 
Whatever I weigh when I feel happy and healthy.
 
A specific number, which happens to correspond with fitting into a certain size.
 
Other
 
 
 
 
When I look in the mirror, I:
 
like what I see, flaws and all.
 
could look better, lose a little weight etc, but overall its all good
 
Avoid looking at myself, because I know I look terrible.
 
Other
 
 
 
 
if you exercise then what is your cause
 
to feel healthy
 
to reach a fitness goal
 
for fun
 
Other