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Short BIID Survey

Please ensure that you read each question properly to answer it with full accuracy to the instructions.

Relative to your birth sex, what sexual orientation best describes you? (If you are a trans women attracted to women for example, for the purposes of the question you would be heterosexual)

Completely heterosexual

Completely homosexual

Bisexual / Pansexual (leaning heterosexual)

Bisexual / Pansexual (leaning homosexual)

Completely bisexual / pansexual (equally attracted)

Asexual (non-sex repulsed)

Asexual (sex repulsed)

Other

Please Specify:

What is your gender?

Cisgender Man

Cisgender women

Trans man

Trans women

Nonbinary

Intersex Man-identifying

Intersex Women-identifying

Intersex Not-Male-or-Female-Identifying

Other

Please Specify:

To what extent do you experience euphoria / positive emotional feelings / happiness at the thought of yourself as disabled? (in any way, ever) (this includes fantasies about becoming disabled, or any similar experiences)

Not at all

Some euphoria

Significant euphoria

A lot of euphoria

Overwhelming euphoria

To what extent do you / have you experienced arousal at the thought of yourself as disabled (in any way, ever) (this includes fantasies about becoming disabled, or any similar experiences)

Not at all

Some arousal

A lot of arousal

Extreme arousal

To what extent do you / have you experienced dysphoria / suffering / anxiety due to your able bodied-ness or lack of disability?

Not at all

Some dysphoria

Significant dysphoria

A lot of dysphoria

Excruciating dysphoria

To what extent do you believe your euphoria is the catalyst for your desire to become disabled as opposed to dysphoria?

Euphoria is the entire motivation

Euphoria is the most important, but my dysphoria influences / strengthens my desire

Both matter equally to me

My dysphoria is what is making me want to transition, although my euphoria strengthens that feeling

Dysphoria is my entire reason for wanting to become disabled

Other

Please Specify:

When did you first begin to feel a desire to become disabled?

Between 2 and 6 years old

Between 6 and 9 years old

Between 9 and 12 years old

Between 12 and 15 years old

Between 15 and 20 years old

Beyond 20 years old

Have you ever felt any of the following?

Gender dysphoria - a feeling, desire or conviction that you are or want to be another gender or sex

Age dysphoria - a feeling that you should be a child, a feeling of wrongness at not being a child (beyond normal anxiety about aging)

Species dysphoria - a feeling that you are not fully human or that you want to be not human (at least partially), a feeling of wrongness at being a fully human being

A desire to present yourself as an anthropomorphic animal (furry-ism)

A sexual attraction to plushies or toys

A desire to make yourself look like a plushie or toy

No, I have not

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