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Media Comment Form
If you read, see, or hear something
in the media that is particularly positive or negative about
large-size people (or a large-size person), please fill out one of
these forms and send it to us for our MediaWatch files.
Please use one form for each example. You can copy this form and
you have our permission to distribute it to others. Please return
filled-in forms to: Council on Size & Weight Discrimination, PO
Box 305,
Mt. Marion, NY 12456. Or fax it to us at 845-679-1206
If you want to contact us about the MediaWatch or
any other project, you can E-mail us at info@cswd.org or call us
at 610 970-8166.
Please see our MediaWatch Letter-writing Guide (How to Write a
Letter of Praise or Criticism) for help in composing your
comments. For addresses of TV networks, please consult our
MediaWatch Address List. For other addresses, you can do a search
on the Internet or call your local library for assistance.
Thank you for sending us your MediaWatch report. We will use these
reports to educate and improve how the media portrays body size
and weight. Your assistance will help us make a difference in the
world!
Media Watch Comment Form
Type of media:
TV sitcom TV drama TV advertisement TV other (specify _________) Movie
Magazine/Newspaper article Magazine/Newspaper advertisement
Other media (please specify)______________________________
Name of TV Show, Movie, Publication, Product Advertised,
etc.___________________________________
TV network, if applicable
________________________________________________________________
Time and date of airing or publication
______________________________________________________
Is the reported example positive or negative?
Describe the
example_____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
(You may continue on the other side of this sheet if necessary).
How did the reported example make you feel?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Have you written (or do you intend to write) to the network, publisher,
sponsor, or advertiser to express your feelings about the reported
example? Yes No (If yes, please send us a copy of your letter and any
response you get.)
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