Welcome to this survey. Press Next to begin.

Please answer the following questions regarding your demographics.

What is your gender?

Male Female Non-binary/third gender Prefer not to answer

What is your biological sex?

Male Female Intersex

How old are you (in years)?

What is the highest level of education you have completed?

Did Not Complete High School High School/GED Some College Bachelor's Degree Master's Degree Advanced Graduate work or Ph.D

Are you currently on medication?

Yes No Prefer not to answer

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)?

Yes No Prefer not to answer

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)

Major Depression Manic-Depressive (bipolar) illnes Panic Disorder Agoraphobia Social Anxiety Disorder OCD Posttraumatic Stress Disorder Alchol Dependence Substance Use Disorder Psychotic Disorder Anorexia Nervosa Bulimia Binge Eating Disorder Generalized Anxiety Disorder Antisocial Personality Disorder Other

If you answered OTHER, please describe:

Congratulations for completing this survey! Press finish to continue.