Question 1 of 28 Memory Disturbance Some people have the experience of driving or riding in a car or bus or subway and suddenly realizing that they don’t remember what has happened during all or part of the trip. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Next Question 2 of 28 Dissociative Awareness Disruption Some people find that sometimes they are listening to someone talk and they suddenly realize that they did not hear part or all of what was said. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 3 of 28 Memory Disturbance Some people have the experience of finding themselves in a place and have no idea how they got there. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 4 of 28 Memory Disturbance Some people have the experience of finding themselves dressed in clothes that they don’t remember putting on. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 5 of 28 Memory Disturbance Some people have the experience of finding new things among their belongings that they do not remember buying. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 6 of 28 Identity Confusion Some people sometimes find that they are approached by people that they do not know, who call them by another name or insist that they have met them before. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 7 of 28 Depersonalization Some people sometimes have the experience of feeling as though they are standing next to themselves or watching themselves do something and they actually see themselves as if they were looking at another person. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 8 of 28 Identity Confusion Some people are told that they sometimes do not recognize friends or family members. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 9 of 28 Memory Disturbance Some people find that they have no memory for some important events in their lives (for example, a wedding or graduation). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 10 of 28 Identity Confusion Some people have the experience of being accused of lying when they do not think that they have lied. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 11 of 28 Depersonalization Some people have the experience of looking in a mirror and not recognizing themselves. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 12 of 28 Derealization Some people have the experience of feeling that other people, objects, and the world around them are not real. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 13 of 28 Depersonalization Some people have the experience of feeling that their body does not seem to belong to them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 14 of 28 Absorption and Imaginative Involvement Some people have the experience of sometimes remembering a past event so vividly that they feel as if they were reliving that event. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 15 of 28 Dissociative Awareness Disruption Some people have the experience of not being sure whether things that they remember happening really did happen or whether they just dreamed them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 16 of 28 Derealization Some people have the experience of being in a familiar place but finding it strange and unfamiliar. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 17 of 28 Absorption and Imaginative Involvement Some people find that when they are watching television or a movie they become so absorbed in the story that they are unaware of other events happening around them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 18 of 28 Absorption and Imaginative Involvement Some people find that they become so involved in a fantasy or daydream that it feels as though it were really happening to them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 19 of 28 Dissociative Awareness Disruption Some people find that they sometimes are able to ignore pain. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 20 of 28 Absorption and Imaginative Involvement Some people find that they sometimes sit staring off into space, thinking of nothing, and are not aware of the passage of time. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 21 of 28 Identity Confusion Some people sometimes find that when they are alone they talk out loud to themselves. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 22 of 28 Identity Confusion Some people find that in one situation they may act so differently compared with another situation that they feel almost as if they were two different people. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 23 of 28 Dissociative Awareness Disruption Some people sometimes find that in certain situations they are able to do things with amazing ease and spontaneity that would usually be difficult for them (for example, sports, work, social situations, etc.). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 24 of 28 Memory Disturbance Some people sometimes find that they cannot remember whether they have done something or have just thought about doing that thing (for example, not knowing whether they have just mailed a letter or have just thought about mailing it). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 25 of 28 Memory Disturbance Some people find evidence that they have done things that they do not remember doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 26 of 28 Memory Disturbance Some people sometimes find writings, drawings, or notes among their belongings that they must have done but cannot remember doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 27 of 28 Identity Confusion Some people sometimes find that they hear voices inside their head that tell them to do things or comment on things that they are doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 28 of 28 Derealization Some people sometimes feel as if they are looking at the world through a fog, so that people and objects appear far away or unclear. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Generate Report
Question 1 of 28 Memory Disturbance Some people have the experience of driving or riding in a car or bus or subway and suddenly realizing that they don’t remember what has happened during all or part of the trip. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Next Question 2 of 28 Dissociative Awareness Disruption Some people find that sometimes they are listening to someone talk and they suddenly realize that they did not hear part or all of what was said. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 3 of 28 Memory Disturbance Some people have the experience of finding themselves in a place and have no idea how they got there. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 4 of 28 Memory Disturbance Some people have the experience of finding themselves dressed in clothes that they don’t remember putting on. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 5 of 28 Memory Disturbance Some people have the experience of finding new things among their belongings that they do not remember buying. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 6 of 28 Identity Confusion Some people sometimes find that they are approached by people that they do not know, who call them by another name or insist that they have met them before. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 7 of 28 Depersonalization Some people sometimes have the experience of feeling as though they are standing next to themselves or watching themselves do something and they actually see themselves as if they were looking at another person. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 8 of 28 Identity Confusion Some people are told that they sometimes do not recognize friends or family members. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 9 of 28 Memory Disturbance Some people find that they have no memory for some important events in their lives (for example, a wedding or graduation). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 10 of 28 Identity Confusion Some people have the experience of being accused of lying when they do not think that they have lied. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 11 of 28 Depersonalization Some people have the experience of looking in a mirror and not recognizing themselves. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 12 of 28 Derealization Some people have the experience of feeling that other people, objects, and the world around them are not real. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 13 of 28 Depersonalization Some people have the experience of feeling that their body does not seem to belong to them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 14 of 28 Absorption and Imaginative Involvement Some people have the experience of sometimes remembering a past event so vividly that they feel as if they were reliving that event. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 15 of 28 Dissociative Awareness Disruption Some people have the experience of not being sure whether things that they remember happening really did happen or whether they just dreamed them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 16 of 28 Derealization Some people have the experience of being in a familiar place but finding it strange and unfamiliar. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 17 of 28 Absorption and Imaginative Involvement Some people find that when they are watching television or a movie they become so absorbed in the story that they are unaware of other events happening around them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 18 of 28 Absorption and Imaginative Involvement Some people find that they become so involved in a fantasy or daydream that it feels as though it were really happening to them. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 19 of 28 Dissociative Awareness Disruption Some people find that they sometimes are able to ignore pain. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 20 of 28 Absorption and Imaginative Involvement Some people find that they sometimes sit staring off into space, thinking of nothing, and are not aware of the passage of time. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 21 of 28 Identity Confusion Some people sometimes find that when they are alone they talk out loud to themselves. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 22 of 28 Identity Confusion Some people find that in one situation they may act so differently compared with another situation that they feel almost as if they were two different people. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 23 of 28 Dissociative Awareness Disruption Some people sometimes find that in certain situations they are able to do things with amazing ease and spontaneity that would usually be difficult for them (for example, sports, work, social situations, etc.). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 24 of 28 Memory Disturbance Some people sometimes find that they cannot remember whether they have done something or have just thought about doing that thing (for example, not knowing whether they have just mailed a letter or have just thought about mailing it). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 25 of 28 Memory Disturbance Some people find evidence that they have done things that they do not remember doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 26 of 28 Memory Disturbance Some people sometimes find writings, drawings, or notes among their belongings that they must have done but cannot remember doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 27 of 28 Identity Confusion Some people sometimes find that they hear voices inside their head that tell them to do things or comment on things that they are doing. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Next Question 28 of 28 Derealization Some people sometimes feel as if they are looking at the world through a fog, so that people and objects appear far away or unclear. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Previous Generate Report