Body Perception Questionnaire
This questionnaire aims to understand your perceptions about your body. Please answer the questions honestly.
Full Name
First Name
Last Name
Age
Gender
Male
Female
Non-binary
Other
How satisfied are you with your overall body image?
Not satisfied at all
0
1
2
3
4
Very satisfied
5
0 is Not satisfied at all, 5 is Very satisfied
What aspects of your body do you feel most positive about? (Select all that apply)
Skin
Hair
Weight
Height
Muscle Tone
Facial Features
Other
What aspects of your body do you feel least positive about? (Select all that apply)
Skin
Hair
Weight
Height
Muscle Tone
Facial Features
Other
Do you engage in any activities to improve your body image?
Yes
No
If yes, please specify what activities you engage in.
How often do you compare your body to others?
Never
Rarely
Sometimes
Often
Always
Do you think societal standards of beauty affect your body perception?
Not at all
A little
Somewhat
Very much
Any additional comments or thoughts on body perception?
Submit
Should be Empty: