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Exit Survey
 
 
What is your age?  
 
14-16
 
17-19
 
20-22
 
older than 22
 
 
 
How many hours do you spend on Social Media daily?
 
1-2 hours
 
2-3 hours
 
3-4 hours
 
more than 5
 
 
 
3. What type of media do you use most to obtain information?
 
Internet
 
Journalism
 
TV/ Film
 
 
 
4. Have you ever changed yourself because of something/someone you saw/ read about in the media? Select all that apply.
 
No
 
Changed my clothing style
 
Changed my hairstyle
 
Bought more makeup
 
Bought less makeup
 
Began a diet
 
Ended a diet
 
Underwent surgery
 
Increased exercise
 
Developed an eating disorder
 
Recovered from an eating disorder
 
Took pills/powder to increase muscle mass
 
Other
 

 
 
 
Do you think the media influences how people see themselves?
 
Yes
 
No
 
 
 
Do you compare yourself to women/men in the media?
 
Yes
 
No
 
 
 
If yes, what media do you think has the strongest influence on you?
 
Internet (including online articles and social media sites)
 
Journalism (magazines, newspapers, books)
 
Television/Film
 
 
 
How important to you is your appearance?
 
Very important
 
Moderately important
 
Slightly important
 
Not important
 
 
 
What do you think is the biggest cause of your body image concerns?
 
My own perception of my body
 
Peer pressure
 
Pressure from family
 
The ideals of the media (magazines, tv, etc.)
 
Other (Please Specify)
 
 
 
 
Do you often compare your body to those of others?
 
Yes
 
No