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Dear Student:

We, Ashton Nelson, Joni Johnson, and Rebecca Bruns, are conducting a research project titled "Body Awareness and Body Esteem" as part of a class project at South Dakota State University. The purpose of the study is to find a relationship between a person's body awareness and their body esteem. 

You as a student are invited to participate in the study by completing the following survey. We realize that your time is valuable and have attempted to keep the requested information as brief and concise as possible. It will take approximately 15 minutes of your time. Your participation in this project is voluntary. You may withdraw from the study at any time without consequence.

There are no known risks to you for participating in this study; however some of these questions could be of a sensitive nature. If you feel anxiety you can contact the SDSU Counseling Services 605-688-6146. Their office hours are Monday-Friday 8:00 AM-5:00 PM.

The benefits to you by participating are learning about how psychology research is conducted, in addition for receiving either course credit or extra credit. Following the survey, you will be provided with a debriefing form discussing the purpose and expected results of this study. Your responses are strictly confidential. When the data and analysis are presented, you will not be linked to the data by your name, title or any other identifying item.

Please assist us in our research by completing the following online survey. Consent is implied by clicking on the “I Agree” button at the bottom of this page followed by the Continue button. Please print this page for your records. If you have any questions, now or later, you may contact us at the number below.

Thank you very much for your time and assistance. If you have any questions regarding your rights as a research participant in this study, you may contact the SDSU Research Compliance Coordinator at 605-688-6975, [email protected].

Sincerely,
Ashton Nelson
[email protected]
605-413-8657

Joni Johnson 
[email protected]
605-360-3119

Rebecca Bruns
[email protected]
605-400-1491

 
 
 
 
Instructions:

Listed below are a number of statements regarding your sensitivity to normal, nonemotive body processes.  For each statement, select a number from 1 to 7 that best describes how the statement describes you and place the number in the box to the right of the statement.

                                        Not at all 
                                        true of me                                                                              True of me 
                                           1              2               3              4               5               6               7
 
 
 
1. I notice differences in the way my body reacts to various foods.
   
 
 
2. I can always tell when I bump myself whether or not it will become a bruise.
   
 
 
3. I always know when I've exerted myself to the point where I'll be sore the next day.
   
 
 
4. I am always aware of changes in my energy level when I eat certain foods.
   
 
 
5. I know in advance when I'm getting the flu.
   
 
 
6. I know I'm running a fever without taking my temperature.
   
 
 
7. I can distinguish between tiredness because of hunger and tiredness because of lack of sleep.
   
 
 
8. I can accurately predict what time of day lack of sleep will catch up with me .
   
 
 
9. I am aware of a cycle in my activity level throughout the day.
   
 
 
 
10. I don't notice seasonal rhythms and cycles in the way my body functions.
   
 
 
 
11. As soon as I wake up in the morning, I know how much energy I'll have during the day.
   
 
 
 
12. I can tell when I go to bed how well I will sleep that night.
   
 
 
 
13. I notice distinct body reactions when I am fatigued.
   
 
 
 
14. I notice specific body responses to changes in the weather.
   
 
 
 
15. I can predict how much sleep I will need at night in order to wake up refreshed.
   
 
 
 
16. When my exercise habits change, I can predict very accurately how that will affect my energy level.
   
 
 
 
17. There seems to be a "best" time for me to go to sleep at night.
   
 
 
 
18. I notice specific bodily reactions to being overhungry.
   
 
 
 
Please select a number on a scale of 1 to 5 indicating how you feel about your own body for the following parts or functions:

1 = Have strong negative feelings
2 = Have moderate negative feelings
3 = Have no feeling one way or the other
4 = Have moderate positive feelings
5 = Have strong positive feelings
 
 
 
Body scent
 
 
 
Appetite
 
 
 
Nose
 
 
 
Physical stamina
 
 
 
Reflexes
 
 
 
Lips
 
 
 
Muscular strength
 
 
 
Waist
 
 
 
Energy Level
 
 
 
Thighs
 
 
 
Ears
 
 
 
Biceps
 
 
 
Physical coordination
 
 
 
Chin
 
 
 
Body build
 
 
 
Buttocks
 
 
 
Width of shoulders
 
 
 
Agility
 
 
 
Chest or breasts
 
 
 
Appearance of eyes
 
 
 
Arms
 
 
 
Cheeks or cheekbones
 
 
 
Hips
 
 
 
Legs
 
 
 
Figure/physique
 
 
 
Sex drive
 
 
 
Feet
 
 
 
Sex organs
 
 
 
Appearance of stomach
 
 
 
Body hair
 
 
 
Health
 
 
 
Sex activities
 
 
 
Physical condition
 
 
 
Face
 
 
 
Weight
 
 
 
Before you exit this page, please continue on and fill out the information needed to give you credit for taking part in this study. Click here.