Body Image Check-In Survey ✨

How often do you think about how your body looks?*

Choose the option that best fits your usual experience.

How satisfied do you feel with your body image right now?*

Please answer based on how you feel most days, not just today.

Very dissatisfied to Very satisfied

Which factors affect how you feel about your body?*

Select all that apply.

In what situations do you feel most aware of your body?

Think about everyday moments when body image stands out more.

How comfortable are you talking about body image concerns with others?*

This could include friends, family, coworkers, or support professionals.

Not at all comfortable to Very comfortable

What is one thing that most positively influences how you feel about your body?

A short answer is great 😊

How much do body image feelings affect your daily confidence?*

Consider how it impacts your mood, choices, or interactions.

Not at all to A great deal

What support, resources, or changes would help improve body confidence for you or others?

Share any ideas that would make a real difference.

Overall, how important is body image to your well-being?*

Choose the answer that feels most true for you.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.