1 – Not at all
2 – A little
3 – Often
4 – A lot
5 – All the time
¹
1
2
3
4
5
1
I compare aspects of my appearance to others.
2
I check my appearance (e.g. in mirrors, by touching with my fingers, or by taking photos of myself).
3
I avoid situations or people because of my appearance.
4
I brood about past events or reasons to explain why I look the way I do.
5
I THINK about how to camouflage or alter my appearance.
6
I am focused on how I feel I look, rather than on my surroundings.
7
I avoid reflective surfaces, photos, or videos of myself.
8
I discuss my appearance with others or question them about it.
9
I try to camouflage or alter aspects of my appearance.
10
I try to prevent people from seeing aspects of my appearance within particular situations (e.g., by changing my posture, avoiding bright lights).
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.