JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Women's Confidence Survey
Hi, this survey is being conducted by Cultured Waist - we focus on empowering women in and body positivity through waist beads. For more information please check out www.culturedwaist.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your biggest problem with body confidence?
*
Your answer
Why would it make a difference in your life if this problem was solved?
*
Your answer
How difficult has it been to find good solutions to the problem?
*
Not so difficult
Somewhat difficult
Very difficult
If you would to be contacted about solutions to your problem, please leave your email below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
