Body Image Survey Questions Survey

Body Image Check-In Survey ✨

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

Think about your usual day-to-day experience

Rarely
Sometimes
Often
Very often

How satisfied are you with your body image right now?*

Choose the option that feels closest to your current experience

1

2

3

4

5

Very dissatisfied to Very satisfied

Which factors affect how you feel about your body?

Select all that apply

Social media
Family comments
Friends or peers
Clothing fit
Health or fitness goals
Work or school environment
Cultural or beauty standards
Other

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

Pick the one that best matches your experience

Taking photos
Shopping for clothes
Exercising or playing sports
Being in social settings
Looking in the mirror
I usually do not feel very aware of my body

How comfortable do you feel in your body during everyday activities?*

Think about things like walking, working, studying, or socializing

1

2

3

4

5

From Least to Most

What usually helps you feel better about your body?

Share anything that supports a more positive feeling

Have body image concerns ever affected your mood or confidence?*

Choose the answer that fits best

Not at all
A little
Somewhat
Quite a bit
Very much

What is one thing that could help you feel more positive about your body?

A short answer is great 😊

Thank you for taking a part in this survey.