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| How important is your appearance to you? |
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| How satisfied are you with your weight? |
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| Do you feel pressured to change your body? |
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| Have you ever used weight altering strategies (e.g. dieting, exercising)? |
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| What do you think is your greatest influence for your body image concerns? |
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| Do your parents display dieting behaviors? |
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| Have you gone on a diet to change the way you look? |
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| Do you ever receive criticism about the way you look? |
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| Where do you receive the most criticism about the way you look? |
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| Do you have regularly scheduled family meals? |
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