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I have to get these questionnaires filled out for this research project I'm doing at school. It's only twenty questions and will only take about 5-10 minutes, so if people could just fill it out, I'd really apreciate it. Thanks again exclaim
Media Impact on Self Identity of Adolescents Questionnaire

Introduction: The purpose of this questionnaire is to gather primary data for my research regarding the influence of the media on the self identity of teenagers. This is an anonymous questionnaire, so please answer as truthfully as possible. Please circle your answer.

Thank you in advance for your time!

Background Questions

What Is Your Gender? Male Female

What Is Your Age? 10-12 13-15 16-18 19+

Where Do You Live? North America South America Europe Africa Asia Australia

How much time do you spend daily using a form of media? (Eg. Television, computer, video games, magazines, newspapers, etc..?)

1 Hour or less 2 -3 Hours 4 -5 Hours 6+ hours

Refer to the above question. Approximately what percentage of your free time is that?

Less than half Half More than half


1. Who is your role model? Or someone you look up to for guidance?

Family member Friend Celebrity Other None


2. Is there a celebrity you idolize?

Strongly Agree Agree Undecided Disagree Strongly Disagree


3. Is there a celebrity you worship?

Strongly Agree Agree Undecided Disagree Strongly Disagree


4. If you agreed with at least one of questions 5 or 6, does that particular celebrity influence your personal values and beliefs?

Strongly Agree Agree Undecided Disagree Strongly Disagree








5. What do you think is the most important trait in a significant other? (Rank from most important 1 to least important 10)

_Wealth

_Attractiveness

_Talent

_Intellect

_Individuality

_Confidence

_Ambition

_Honesty

_Loyalty

_Compassion

6. What do you spend the major of your money on? (Ranks from most 1 to least 5)

_Clothing

_Cosmetics

_Food

_Entertainment

_Technology/Electronics

7. Does wearing brand name clothes increase your confidence?

Strongly Agree Agree Undecided Disagree Strongly Disagree

8. Can you tell the difference between generic and name brand clothing?

Strongly Agree Agree Undecided Disagree Strongly Disagree

9. Do you think that money buys happiness?

Strongly Agree Agree Undecided Disagree Strongly Disagree

10. How often do you eat at fast food restaurants?

Once or twice a week Once or twice a month Three to four times a year Unsure

11. Are you happy with your weight?

Yes No Unsure

12.Are you on a diet?

Yes No Unsure

13. Do you have an eating disorder?

Yes No Unsure

14. Do you use beauty or fashion magazines for self evaluation?

Yes No Unsure

15. Do you find the people around you materialistic?

Yes No Unsure

16. Do you think the media reflects the values and beliefs of your culture and society?

Yes No Unsure

17. How influential are advertisements on how you spend your money?

Very influential Not very influential No influence

18. Which words do you associate with success? (Rank from most 1 to least 10)

_Fame

_Fortune

_Luxury

_Accomplishment

_Reward

_Victory

_Growth

_Experience

_Love

_Masterpiece

Background Questions

What Is Your Gender? Male Female

What Is Your Age? 10-12 13-15 16-18 19+

Where Do You Live? North America South America Europe Africa Asia Australia

How much time do you spend daily using a form of media? (Eg. Television, computer, video games, magazines, newspapers, etc..?)

1 Hour or less 2 -3 Hours 4 -5 Hours 6+ hours

Refer to the above question. Approximately what percentage of your free time is that?

Less than half Half More than half


1. Who is your role model? Or someone you look up to for guidance?

Family member Friend Celebrity Other None


2. Is there a celebrity you idolize?

Strongly Agree Agree Undecided Disagree Strongly Disagree


3. Is there a celebrity you worship?

Strongly Agree Agree Undecided Disagree Strongly Disagree


4. If you agreed with at least one of questions 5 or 6, does that particular celebrity influence your personal values and beliefs?

Strongly Agree Agree Undecided Disagree Strongly Disagree








5. What do you think is the most important trait in a significant other? (Rank from most important 1 to least important 10)

10_Wealth

9_Attractiveness

7_Talent

8_Intellect

6_Individuality

2_Confidence

3_Ambition

1_Honesty

4_Loyalty

5_Compassion

6. What do you spend the major of your money on? (Ranks from most 1 to least 5)

5_Clothing

4_Cosmetics

1_Food

2_Entertainment

3_Technology/Electronics

7. Does wearing brand name clothes increase your confidence?

Strongly Agree Agree Undecided Disagree Strongly Disagree

8. Can you tell the difference between generic and name brand clothing?......yes

Strongly Agree Agree Undecided Disagree Strongly Disagree

9. Do you think that money buys happiness?,,,,,,,,no

Strongly Agree Agree Undecided Disagree Strongly Disagree

10. How often do you eat at fast food restaurants?2 a month

Once or twice a week Once or twice a month Three to four times a year Unsure

11. Are you happy with your weight? unsure

Yes No Unsure

12.Are you on a diet? no

Yes No Unsure

13. Do you have an eating disorder? no

Yes No Unsure

14. Do you use beauty or fashion magazines for self evaluation?

Yes No Unsure.....hell no .......

15. Do you find the people around you materialistic?

Yes No Unsure.....some.......

16. Do you think the media reflects the values and beliefs of your culture and society?

Yes No Unsure......no.......

17. How influential are advertisements on how you spend your money?

Very influential Not very influential No influence......not at all....

18. Which words do you associate with success? (Rank from most 1 to least 10)

9_Fame

8_Fortune

10_Luxury

5_Accomplishment

7_Reward

6_Victory

4_Growth

1_Experience

2_Love

3_Masterpiece

hope i could help you out a bit