Circle "yes" if something has been true once or many times and "no" if it has never been true.  Your answers will remain anonymous.
 

I have sometimes felt bad about myself for not having something.	Yes	No
I have felt that others might like me more if I owned a certain item.	Yes	No
An ad has made me feel that I would like myself more, or that others would like me more, if I owned the product that the ad was selling.	Yes	No
I sometimes worry about my appearance, about whether I look attractive.	Yes	No
I have felt that others might like me more if I looked different - if my face, body, skin, or hair were different.	Yes	No
An ad has made me feel that I would like myself more, or that others would like me more, if I could change my appearance with the product that the ad was selling.	Yes	No
I would like others to form their opinion of me based on: _____ what I look like and what I own _____ my personality and character traits
© Center for the Study of Commercialism