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Are you happy with your size?

This is a survey to find out what people think about their own size and to see if they want to change.



1)

How old are you?

 
 
 
 
 
 
 

2)

Are you male or female?

 
 
 

3)

How tall are you? Please select closest answer

 
 
 
 
 
 
 
 

4)

How much do you weigh? Please select closest (20lbs = 9kg)

 
 
 
 
 
 
 
 
 

5)

Do you think you have a similar body to your most people your age?

 
 
 

6)

Have you ever felt the need to lose weight?

 
 
 
 
 

7)

Have you ever felt the need to gain weight?

 
 
 
 
 

8)

What type of body do you want / prefer?

 
 
 
 
 
 
 
 
 

9)

What do you consider yourself as?

 
 
 
 
 

10)

Do you feel upset when people mention your body?

 
 
 

11)

What do you think you are?

 
 
 
 
 

12)

Are you a gainer?

 
 
 
 

13)

Finally, are you happy with your body?

 
 
 
 
 
 
 
 
 


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