Question stem | Scoring |
---|---|
1. Looks in general | 4. Very happy 3. Mostly happy 2. Mostly unhappy 1. Very unhappy |
2. How chest looks without shirt | 4. Very happy 3. Mostly happy 2. Mostly unhappy 1. Very unhappy |
3. Spending rest of life as chest looks now | 4. Very happy 3. Mostly happy 2. Mostly unhappy 1. Very unhappy |
4. Other people make fun of you because of your chest looks? | 1. Very often 2. Often 3. Sometimes 4. Never |
5. Avoid doing things | 1. Very often 2. Often 3. Sometimes 4. Never |
6. Hides chest | 1. Very often 2. Often 3. Sometimes 4. Never |
7. Bothered because of the way chest looks?? | 1. Very often 2. Often 3. Sometimes 4. Never |
8. Feels shy/self-conscious because of chest looks??? | 1. Very often 2. Often 3. Sometimes 4. Never |
9. Feels bad about her/himself | 1. Very often 2. Often 3. Sometimes 4. Never |
10. Has trouble exercising | 1. Very often 2. Often 3. Sometimes 4. Never |
11. Chest causes shortness of breath | 1. Very often 2. Often 3. Sometimes 4. Never |
12. Chest is the cause to be tired | 1. Very often 2. Often 3. Sometimes 4. Never |