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For a general assessment of your body image, rate the degree to which the following statements apply to you:
1. I don't like looking at myself in mirrors. never sometimes often always
2. Shopping for clothes makes me weight-focused and is therefore unpleasant. never sometimes often always
3.I don't like to be looked at in public. never sometimes often always
4. I avoid participating in sports or outside exercise because of my appearance. never sometimes often always
5. I feel ashamed of my body in the presence of a special person. never sometimes often always
6. I don't like my body. never sometimes often always
7. I feel that other people must think that my body is ugly. never sometimes often always
8. I feel that friends and family are embarrassed to be seen with me. never sometimes often always
9. I compare my body to others to see if they are heavier than I am. never sometimes often always
10. Enjoying activities is difficult because I am self-conscious about my appearance. never sometimes often always
11. I am preoccupied with feeling guilty about my weight. never sometimes often always
12. I have negative and self-critical thoughts about my body and appearance. never sometimes often always
