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Hello: You are invited to participate in our survey [Psychology  ]. In this survey, approximately [100] people will be asked to complete a survey that asks questions about [Body Image]. It will take approximately [15] minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Norma Uribe] at [[email protected]] or by email at the email address specified below. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
Are you male or female?
 
 
 
* Are you 18 years old or older?
 
 
How do you feel about your body image?
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
 
 
 
How many days per week do you excersise?
 
-
 
 
 
For what purpose do you excersise?
 
Body image
 
Personal Health
 
Other
 
 
 
Have you ever feel intimidated by one of the followings because of their body image?
Intimidated Not intimidated Neutral Very intimidated
Athletes
Models
Actors/Actresses
 
 
Have you ever feel so much pressure with your body image that you thought about going on a diet for that purpose?
Agree Neutral Disagree
 
 
 
 
If you where able to change any of your body parts which would it be and why?
   
 
 
Would you say that the media (magazines, tv, etc) makes a big influence of the idea of "the perfect body" on the people?
Agree Strongly agree Neutral Disagree Strongly disagree