Physical attractiveness survey

a. Much more attractive b. More attractive c. About the same d. Less attractive e. Much less attractive

11. How would you rate your physical attractiveness now compared to when you were 20?

a. Much more attractive b. More attractive c. About the same d. Less attractive e. Much less attractive

12. Are you generally in a positive mood?

Always Frequently Sometimes Rarely Never

13. When you look at yourself in the mirror, how satisfied are you about the following aspects of your appearance?

a. Very satisfied b. Moderately satisfied c. Neither satisfied nor dissatisfied d. Moderately dissatisfied e. Very dissatisfied

-- 1. overall facial attractiveness -- 2. general muscle tone -- 3. body weight -- 4. overall appearance undressed -- 5. overall appearance dressed

14. When you look in the mirror, does it affect your mood?

Always Frequently Sometimes Rarely Never

15. Do you think about how others evaluate your looks?

Always Frequently Sometimes Rarely Never

16. Compared to 10 years ago, how concerned are you today with others' evaluations of your looks?

Increased greatly Increased moderately Stayed the same Decreased moderately Decreased greatly

17. Does the thought of how others might be perceiving your looks affect your mood?

Always Frequently Sometimes Rarely Never

18. Compared to 10 years ago, how self-conscious are you today about the following aspects of your appearance?

a. increased greatly b. Increased moderately c. Stayed the same d. Decreased moderately e. Decreased greatly

-- 1. face -- 2. general muscle tone/physical fitness -- 3. body weight -- 4. being in style -- 5. looking older

19. Do you think you look younger or older than you are?

look 10 years younger look 5 years younger look your age look 5 years older look 10 years older

20. About how often do you think about visibly aging?

several times a day daily several times a week once a week monthly or less

21. To what extent do you think the following will be concerns of yours 10 years from now?

a. Extremely concerned b. Somewhat concerned c. Neither concerned nor unconcerned d. Reasonably unconcerned e. Totally unconcerned

-- 1. facial wrinkling -- 2. graying hair -- 3. gaining weight -- 4. losing muscle tone -- 5. losing your health -- 6. having fewer job opportunities -- 7. losing your spouse or partner to a younger person --8. becoming less sexually attractive -- 9. becoming less in control of your life

22. When you form a mental image of what a person ideally looks like at age 50 or 60, to what extent is this picture based on:

a. Totally b. Very much c. Moderately d. Slightly e. Not at all

-- 1. your own standards -- 2. what your mother looked like at that age -- 3. what your father looked like at that age -- 4. what another important person in your life looked like at that age -- 5. images in the media

23. Do you ever lie about your age?

Always Frequently Sometimes Rarely Never

24. Do you ever think about undergoing cosmetic plastic surgery?

Always Frequently Sometimes Rarely Never

PART III: HOW DO OTHERS AROUND YOU FEEL?

25. To what extent do these aspects of your personal environment support your view of yourself as attractive?

a. Totally b. Very much c. Moderately d. Slightly e. Not at all

-- 1. your spouse or life partner -- 2. your job or field of work -- 3. your friends -- 4. your children -- 5. your mother -- 6. your father --7. your siblings

26. How important have the following been in influencing your feelings about your looks?

a. Very important b. Moderately important c. Slightly important d. Almost irrelevant e. Completely irrelevant