Response time: 15 min
Age
Gender identification
Do you have or have you ever had behaviors consistent with BFRB?
If yes, What type of BFRB did you have or do you have?
Do you know at what age you started noticing these behaviors?
How often do you experience this type of behavior during your daily routine?
In what situations does it tend to happen? Multiple choice (max. 4)
Typical emotions after engaging in the behavior Multiple choice (max. 3)
What is the impact on daily life? Multiple choice (max. 3)