Gender: Female Male
Age:
Height:
Weight (approx):
stones lbs
or
kilos
lbs
Target weight (optional):
Nationality:
Occupation (optional): Professional Administrative Retail Manual Unemployed Raising children Housewife / househusband Other (please specify):
1. Have you ever felt discriminated against because of your weight?
Yes
No
If yes, tick all that apply:
During school years In the workplace In a family environment In a social setting
Comments (optional):
2. Do you believe people’s weight is becoming more or less of an issue in the following environments:
In society generally:
More No different Less
In the workplace:
3. Do you think the Government should legislate against fattism / discrimination based on a person’s weight?
4. Do you feel your weight has held back or hindered your career opportunities?
5. Do you feel employers should do more to accommodate staff who are overweight?
6. Do you feel being overweight is a disability that should be treated as such in the following environments:
7. Do you feel work colleagues and associates undervalue your abilities because of your weight?
8. Have you ever been bullied, made fun of or negatively singled out in any of the following environments because of your weight:
At school In the workplace In a family environment In a social setting
9. Do you think fattism / discrimination based on a person’s weight should be treated in the same way as sexism and racism?
10. Do you feel employers have a responsibility to implement schemes to help their staff maintain a healthy weight?
11. Do you feel society should do more to accommodate people who are overweight?
12. Do you feel being overweight is more or less accepted in today’s society than 10 years ago?