Mirror Gazing: Cognition and Affect Rating Scale (MG-CARS)

Mirror Gazing Questionnaire

This questionnaire is looking at your experiences and feelings when you were looking at yourself in mirrors over the past month.

DEFINITIONS

I. A “long session” in front of the mirror is defined as the longest continuous time during the day that you spend in front of the mirror. An example would be spending 20 minutes in front of the mirror every morning when you are getting ready for the day and performing activities like brushing your hair, or checking your overall appearance.

II. This is in contrast to a “short session” in front of the mirror, which is defined as just briefly (i.e. half a minute) checking your appearance in the mirror in passing.

1. Did you have at least one long session in front of a mirror on most days of the past month?

Yes. Please continue with question 2.

No. Please continue with question 4.

2. Over the past month, how long was the average duration of a long session in front of the mirror?

______minutes

3. Over the past month, what was the maximum amount of time you spent in front of the mirror on any one occasion?

______minutes

4. Over the past month, how long was the average duration of a short session in front of the mirror?

______minutes

5. On average, how many short sessions in front of a mirror did you have per day over the last month?

______sessions

PLEASE CONTINUE ON THE NEXT PAGE. 6. Activities in front of the mirror:

Please rate the percentage of time you spent on each activity on the list below during a typical long/ short session in front of the mirror and ensure that the total adds up to 100%

% during % during Activity long short session session a. Trying to hide my defects or enhance my appearance by the use of make-up % % b. Combing or styling my hair % c. Trying to make my skin smooth by picking or squeezing spots % % d. Plucking or removing hairs or shaving % % e. Comparing what I see in the mirror with an image that I have in my mind % % f.Trying to see something different in the mirror % % g. Feeling the skin with my fingers % % h. Practising the best position to pull or show in public % % i. Measuring parts of my face % % j. Other activities: % % % %

7. a. Do you use (please tick):

Long Short session session Just one mirror all the time Different mirrors for different profiles

b. What other types of reflective surfaces do you use to check your appearance? ______

9. a. Do you avoid certain types of mirrors?

Yes. Which ones? ______

b. Do you avoid mirrors in certain situations?

c. Do you avoid looking at certain areas of your face?