PARTICIPANT CONSENT FORM

My name is

Julia Bassett-Scarfe

and I am carrying out this research study as an assessment in the unit CDNPPC02 Analyse the principles of psychology in a cosmetic medical context. The Unit Coordinator is Ms Angela Bird of Australian Academy of Cosmetic Dermal Science.

This study will only take a few minutes and your responses will be completely anonymous. No one, apart from you, will know which person completed each questionnaire.

The questionnaire asks a number of questions about body image. We want to know what are your opinions about body image.

If you are willing to participate, please sign below to indicate that you have read this explanation and agreed to take part.

Beau O’Brien

(Subject’s signature)

QUESTIONNAIRE INSTRUCTIONS

Please follow these instructions exactly to complete the questionnaire. You do not need to identify them as yours.

Step 1

Use the series of line drawn body images that correspond to your own gender.

Select the figure that you perceive, that best approximates your current figure. Enter this number in box ‘A’ below.

Step 2

Select the figure that corresponds to the figure you would most like to look like. Enter this number in box ‘B’ below.

Step 3

Select the figure that you think would be most attractive to your opposite sex. Enter this in box ‘C’.

Step 4

Now refer to the series of drawings for your opposite sex. Select the figure that you find most attractive. Enter this in Box

‘D’.

Step 5

When complete please return all documents to the researcher.

Results
A	B	C	D
4	5 (if musclier)	5	4

Please enter your own gender in the box provided below

Male

Female

Male

Please enter your age in the box provided below