Body Image Experience Survey

How often do you think about your appearance during a typical day?*

Choose the option that feels closest to your usual experience.

How satisfied do you currently feel with your body image?*

Think about how you see and feel about your body overall.

Very dissatisfied to Very satisfied

Which factors most affect how you feel about your body?

Select all that apply.

In the past month, how often have you avoided certain activities because of body image concerns?*

This could include photos, social events, exercise, or wearing certain clothes.

What situations make you feel most confident about your body?

Share any settings, routines, or experiences that help you feel good. 😊

How comfortable are you discussing body image concerns with others?*

Think about friends, family, coworkers, or support professionals.

Not at all comfortable to Very comfortable

Which words best describe how body image affects your daily life?

Select all that apply.

What is one thing that would help improve your body image experience?

A small change, support, or resource can be helpful to mention here.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.