Number of students (please include no. of males and no. of females if mixed) *
Your answer
To the best of your knowledge, do any students have an eating disorder? *
If you answered yes to the previous question, please provide information about how many students have an eating disorder, and the students' gender
If you answered no to the previous question, please skip this question
Your answer
To the best of your knowledge, are any students experiencing body image issues? *
To the best of your knowledge, are any students experiencing cyber-bullying? *
If you answered yes to the previous question, please provide information about the number of students experiencing cyber-bullying and the students' gender
If you answered no to the previous question, please skip this question
Your answer
To the best of your knowledge, are any students experiencing other social media related issues? *
If you answered yes to the previous question, please provide further information, including number of students experiencing other social media related issues and students' gender
If you answered no to the previous question, please skip this question
Your answer
Please provide information regarding any other currently relevant issues for students that you are aware of *
Your answer
If you answered yes to the previous question, please provide information about the number of students experiencing body image issues and students' gender
If you answered no to the previous question, please skip this question
Your answer
Do you agree to be sent information regarding BodyWhys Resources *
A copy of your responses will be emailed to the address you provided.