Body Image Check-In Survey ✨

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

Choose the option that feels most true for your day-to-day experience.

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

Please answer based on how you’ve felt over the past few weeks.

Very dissatisfied to Very satisfied

Which factors affect how you feel about your body?*

Select all that apply. Pick the ones that influence you most.

When do you feel most confident in your body?

A short answer is great here.

How comfortable are you being seen in photos or videos?*

Think about both casual and shared photos.

Very uncomfortable to Very comfortable

What words best describe how you usually feel about your body?

Choose all that fit most of the time.

Have body image concerns ever affected your daily choices?*

This could include clothing, social events, exercise, eating, or speaking up.

What would help you feel more positive about your body?

Share any support, resources, or changes that would make a difference.

How important is it for your organization/community to support positive body image?*

This helps us understand how much this topic matters to respondents.

Not important to Very important

Thank you for taking a part in this survey.

This is a HeySurvey survey template.