What is your gender?
What is your biological sex?
How old are you (in years)?
What is the highest level of education you have completed?
Are you currently on medication?
If you answered YES, please give a list of medication(s) and the daily dosage for each medication you are taking
If you answered YES, please indicated when you started such medications
Are you currently undergoing any other type of therapy (e.g., CBT or others)?
If you answered YES, please indicate the type of therapy you are undergoing
If you answered YES, please indicated when you started such therapy
Have you ever been given a diagnosis of or received treatment for any of the following psychiatric disorders? (you can select more than one)
If you answered OTHER, please describe: