Physical attractiveness survey

27. Do you look at pictures of models in magazines?

Always Frequently Sometimes Rarely Never

28. Do you compare yourself to the people in these images?

Always Frequently Sometimes Rarely Never

29. Do you carefully study the features of the models in these pictures?

Always Frequently Sometimes Rarely Never

30. Does looking at images of beautiful people make you feel insecure about your own attractiveness?

Always Frequently Sometimes Rarely Never

31. Does looking at images of young people make you feel insecure about your own attractiveness?

Always Frequently Sometimes Rarely Never

32. Do you compare your level of attractiveness with that of real people you encounter?

Always Frequently Sometimes Rarely Never

33. Would you like models in magazines to be more representative of a range of ages?

Yes No

34. Would you like to see more images of people who are aging naturally?

Yes No

PART V. PERSONAL BACKGROUND

35. How old are you?

Years

36. Are you

Female Male

37. Are you married?

Yes No

38. Have you been divorced?

Yes No

39. Have you been widowed?

Yes No

40. What is your sexual orientation?

Homosexual Bisexual Heterosexual

41. What is the highest level of education you have completed?

High school or less Some college College degree Post-graduate study Graduate degree

42. What is the total annual income of your household?

under $15,000 $15,000-$24,999 $25,000-$49,999 $50,000-$99,999 $100,000-$200,000 $200,000 or more

43. The area you live in is best described as

Urban Suburb Small town Rural

44. In which area of the country do you live?

East South Midwest West

45. (Women) What is your menstrual status?

Menstruating Premenopause Menopause Postmenopause

46. What is your height?

feet inches

47. What is your weight?

pounds

TELL US MORE

For questions 48 through 50, feel free to use additional sheets of paper if necessary.

48. Please tell us about your experiences with and feelings about physical attractiveness. Some points you may want to address include:

How important a role has physical attractiveness played in your life?

Have you experienced changes in appearance that made you aware you were aging?

If so, at what age, and how did that make you feel?

When you look in the mirror, what is your first thought?

49. What is the best way for a person to maintain self-esteem as physical appearance changes with age?

50. What advice/information would you like to pass on to young people about attractiveness throughout life?

This survey was designed to be completely anonymous; however, we would like to be able to contact some of you for more detailed answers. Please feel free to include your name, address, phone number, or e-mail address, if you wish. Thank you for participating!

Name: -- Address: -- City, State, Zip code: -- Phone: () -- e-mail: --Please place your completed questionnaire, along with any additional responses, in an envelope and return to:

Psychology Today--PA 49 East 21 Street, 11th Floor New York, NY 10010

ILLUSTRATION