Questionnaire - Daniel Huffman Questionnaire Doctor Holland...

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Questionnaire Doctor Holland 10/28/10 QUESTIONNAIRE 1. Are a _____ Male or _____ Female? 2. What is your race/ethnicity? ______________________________ 3. How old are you? ________________ 4. ___ Yes or ___ No: Do you wear/like weave/wigs 5. ___ Yes or ___ No: Are you comfortable with your own body? 6. ___ Yes or ___ No: Would you consider yourself bulimic? 7. ___ Yes or ___ No: Have you ever been bulimic? 8. ___ Yes or ___ No: Would you consider yourself anorexic? 9. ___ Yes or ___ No: Have you ever been anorexic? 10. ___ Yes or ___ No: Would you consider yourself overweight? 11. ___ Yes or ___ No: Do you feel comfortable in a bikini? 12. ___ Yes or ___ No: Have you considered cosmetic surgery? 13. ___ Yes or ___ No: Have you had cosmetic surgery 14. ___ Yes or ___ No: Do you like your hair? 15. ___ Yes or ___ No: Do you have healthy and balanced diet (i.e. vegetables, fruits, proteins, carbs, fibers) 16. ___ Yes or ___ No: Do you eat candy every day or other day? 17. ___ Yes or ___ No: Do you eat junk food (i.e. chips) at
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This note was uploaded on 03/21/2011 for the course SOCI 1101 taught by Professor Staff during the Fall '08 term at Georgia State.

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Questionnaire - Daniel Huffman Questionnaire Doctor Holland...

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