*1.What is your gender?(Required.)

Female

Male

non binary

prefer not to say

*2.are you diagnosed with any mental illnesses(Required.)

yes

no

i’m in the diagnosing process

unsure

3.if so what mental illness / developmental disorder

autism

adhd

depression

anxiety

cluster A personality disorder

cluster B personality disorder

cluster C personality disorder

bipolar

OCD

psychosis related disorder

Other (please specify)