Cosmetic Surgery

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Cosmetic Surgery

CS = Cosmetic Surgery
All answers are anonymous, so feel free to answer honestly. :)

What is your race? *

White

African American

Native American

Asian

Middle Eastern

Pacific Islander

Hispanic/Latino

Other:

Required

What is your ethnicity/ nationality? *

What is your age? *

-10

10-15

16-20

21-25

26-30

31-35

36-40

41-45

46-50

50+

What is your gender/sex? *

Female

Male

Prefer not to say

Other:

What is your acceptance on cosmetic surgery? *

1: Extremely not acceptable

2: Not acceptable

3: Somewhat acceptable/ Neutral

4: Acceptable

5: Very Acceptable

Other:

Does the Media influence your opinion on Cosmetic Surgery or appearance of beauty? *

1: Not at all

2: Not much

3: Somewhat/ Neutral

4: Yes

5: Very much

Other:

Would you consider cosmetic surgery yourself? *

1: Not at all

2: Not much

3: Somewhat

4: Yes

5: Very much

Other:

Is cosmetic surgery normal? *

1: Not at all

2: Not much

3: Somewhat

4: Yes

5: Very much

Other:

Do you know anyone who has had CS? *

Yes

Somewhat

Other:

Does that change your opinion on CS?

Yes

Somewhat

Other:

Clear selection

Why?

If you have had cosmetic surgery, how does that change your identity/ self-esteem?

I have more courage and are able to do a lot more than before.

I am happier and have more self-esteem.

I am somewhat happier.

I am the same.

I am somewhat regretful.

I am more sadder and have less self-esteem.

I extremely regret CS and feel changed (in a bad way).

Never had it.

Other:

Clear selection

Why?

Are teens too young to make a decision that permanently changes beauty? *

1: Not at all

2: Not much

3: Somewhat

4: Yes

5: Very much

Other:

Does peer pressure have an impact on your desire to have CS? *

1: Not at all

2: Not much

3: Somewhat

4: Yes

5: Very much

Other:

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