Question 1 - merci de choisir 1 seule réponse
Which color can you smell? |
|
2   | | Red |
| 0 | | Orange |
| 0 | | Yellow |
| 0 | | Green |
| 0 | | Blue |
| 0 | | Indigo |
| 0 | | Violet/purple |
1  | | Pink |
| 0 | | Black |
2   | | Gray/grey |
| 0 | | White |
| 0 | | Brown/beige |
| 0 | | Silver/gold/copper |
| 1 | | More than one of the above |
| 1 | | Other |
| 11 | | None of the above |
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Question 2 - merci de choisir 1 seule réponse
Can you hear numbers? |
|
| 2 | | yes |
| 3 | | no |
| 7 | | sometimes |
| 6 | | huh? |
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Question 3 - merci de choisir 1 seule réponse
Do you hear voices in your head? |
|
| 1 | | Yes, they are friendly/funny voices |
| 3 | | Yes, they are neutral voices |
| 1 | | Yes, they are angry/arguing voice |
| 0 | | Yes, but only when I'm not on my meds |
| 8 | | Yes, other |
| 3 | | Sometimes |
| 2 | | No |
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Question 4 - merci de choisir 1 seule réponse
Do you have an alter ego and/or more than one personality? |
|
| 5 | | Yes, I have an alter ego |
| 3 | | Yes, I have two or more personalities |
| 0 | | Yes, I have both |
| 0 | | Yes, but only if I'm off my meds |
| 10 | | Nope, it's just Me, Myself & I -- uh-oh! :) |
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Question 5 - merci de choisir 1 seule réponse
Do you have a mood disorder? (ex.: depression, bipolar, mania, etc.) |
|
| 4 | | Yes, depression |
| 1 | | Yes, bipolar |
| 0 | | Yes, mania |
| 2 | | Yes, like an emotional rollercoaster that's out of control! |
| 0 | | Yes, other |
| 4 | | Not sure |
| 7 | | No |
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Question 6 - merci de choisir 1 seule réponse
How often do you go on a murderous rampage? |
|
| 2 | | Every chance I get |
| 0 | | Only when the stars are aligned correctly |
| 1 | | When the moon is full |
| 10 | | I didn't do it, and you can't prove anything |
| 0 | | I need to talk to my lawyer |
| 4 | | And I would've gotten away with it, if it weren't for those pesky kids and their crazy dog! |
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