| 1. Do you hear people around you talking about chins, and then point and laugh at you? |
Disagree |
|
Agree |
| 2. Have you had a girlfriend in the last 6 months? |
Disagree |
|
Agree |
| 3. Are you often physically or mentally abused to the point where you harm yourself? |
Disagree |
|
Agree |
| 4. Do you find yourself often calling women names, and then finding that you resemble a penis? |
Disagree |
|
Agree |
| 5. Do you see yourself as a rather rude person? |
Disagree |
|
Agree |
