Council on Size and Weight Discrimination

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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

For more information about the Council, visit our website at www.cswd.org. 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 845-679-1209.

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.)