The questionnaire below will give you a general assessment of
your body image. More important than your absolute score, is the relative shift in score
as you work toward an overall more positive relationship between self and body. The fact
that you've found this page is an indication that you are serious about improving your own
body image. It is a step in the right direction.
The Body Image Assessment
Instructions: For each of the
following statements, rate the degree to which it applies to you. Select only one number
for each statement using the following ranking:
0 =
Never
1 =
Sometimes
2 =
Often
3 =
Always
After rating yourself on all statements,
total your points to get your "Body Image" score. You may want to print the form
so your score can be easily added.
1. I dont
like looking at myself in mirrors.
2. Shopping for clothes makes me weight-focused and is therefore
unpleasant.
3. I dont like to be looked at
in public.
4. I avoid participating in sports
or outside exercise because of my appearance.
5. I feel ashamed of my body in the
presence of a special person.
6. I dont like my body.
7. I feel that other people must
think my body is ugly.
8. I feel that friends and family
are embarrassed to be seen with me.
9. I compare my body to others to
see if they are heavier than I am.
10. Enjoying activities is difficult
because I am self-conscious about my appearance.
11. I am preoccupied with feeling
guilty about my weight.
12 I have negative and self-critical
thoughts about my body and appearance.
In general, your final score may suggest the
following:
0 - 7
Great
attitude / Keep it up !
8 - 14
Slightly dissatisfied
15 - 21
Moderately dissatisfied
22 - 28
Very dissatisfied
29 - 36
Extremely dissatisfied
To help transform your body image, you may consider self-help
guides or counseling. Services and products are offered through this web-page.
Regardless of the direction you choose, the key is to take the first step.