The document is a questionnaire that asks respondents about their gender, age, clothing size, body image concerns, influences on their opinions, preferred media sources, role models, and whether they think media portrays realistic images of men and women. It collects demographic information and gauges opinions on topics like pressure to look a certain way, media influence, and unrealistic media portrayals.

1. Questionnaire
What Gender are you?
Male Female
What age category do you fall into?
13+ 14-16 17-20 21+
What clothes size are you?
8 10 12 14 16+
Are you conscious with you size/ image?
Yes No Not bothered
Please explain why you picked either
Do you feel pressured to looking a particular image?
Yes no Not bothered
Does the Media influence your opinion?
Yes No
What media sources attract you most?
TV Internet Magazines
Who are your role models?
- Parents - Peers - Celebrities - Models
Would you aspire to be/ act / Look like them?
Yes No
Do you think that the Media give a false image of what men and women look like?
Yes No