BODYIMAGEQUESTIONNAIRE身体形象调查问卷.docx

BODYIMAGEQUESTIONNAIREMale?Female
What'syourage?
15?
16?
17?
18?
19?
Areyouhappywiththewayyoulook?
Yes?No?
IfyoBODYIMAGEQUESTIONNAIREMale?Female
What'syourage?
15?
16?
17?
18?
19?
Areyouhappywiththewayyoulook?
Yes?No?
Ifyoucould,whatwouldyouchangeaboutyourappearance?
Face?Body(partsofit)?
Istheothers'opinionaboutyourappearanceimportantforyou?
Alot?Alittle?Notatall?
Haveyoueverfeltdiscriminatedbecauseofyourphysicalappearance?
Yes?No?
Haveyouevergoneonadietorareyoudoingitnow?
Yes?No?
Ifyes,whoadvisedyou?
Adoctor?afriend?themedia(internet,magazine,TV?Yourself?
Areyousatisfiedwiththeresults?
Yes?No?
Ifnot,areyoudeterminedtogoon?
Yes?No?
Whatdoyouthinkmakesapersonattractive?
Slimness?Beauty?Character/Manners?
Haveyougotamodelyouwishyouwerelike?
Someoneinyourfamily?Actor(-tress)?Topmodel?Anintellectual?
Doyouthink