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Objectives: During the past decades, cosmetic surgery has become increasingly popular. The purpose of this study is to make questionnaire for screening patients with negative body image in cosmetic clinics for special need people.

Methods: In the present study, 150 special need people in cosmetic clinics were randomly assigned to fill questionnaires for assessing body area concerns.

Results: Results of reliability analysis and validity have shown the effectiveness of this questionnaire for recognizing individuals with having negative body image. These preliminary results suggest that body dysmorphic disorder may be relatively common among patients seeking cosmetic surgery.

Discussion: A high proportion of participants in cosmetic clinics have demonstrated significant body image concerns. These relatively common body image concerns deserve more study in adolescents and people with special needs.