Behind The Smile: THE BUTTERFLY PROJECT: SELF HARM QUIZ (stolen from journeythroughdarkness)
1) How old were you when you started self-harming?
Younger than 4
4-5
6-7
8-9
10-11
12-13
14-15
16-17
18-19
20-21
Older than 21
2) How often do you self-harm
More than once a day
Once a day
Several times a week
Once a week
Two or more times a month
Once a month
Several times in a year
Once a year
I have stopped
I am trying to stop
3) What method of self-harm do/did you primarily use?
Cutting
Burning
Hair-pulling
Scratching
Interference with the healing of wounds
Hitting or bruising
Bone breaking
Cutting and Scratching
Cutting and Burning
4) If You Self Harm What Sexual Orientation Are You?
Straight Male
Straight Female
Bi-Sexual Male
Bi-Sexual Female
Homosexual Male
Homosexual Female
Transgender Male
Transgender Female
Questioning Male
Questioning Female
Pan-sexual Male
Pan-Sexual Female
Prefer not to answer
5) Which Of These, If Any, Were Something You Struggle With Along With Self-harm?
Anorexia
Bulimia
ED-NOS
Anorexia and Bulimia
Suicidal Ideation
Various Psychiatric Disorders (i.e. Bi-polar, Borderline Personality,OCD,Panic, Anxiety, PTSD, Dissociative, Impulse Control Etc.)
Learning Disabilities
A Mixture of the Above
None of the Above
6) Do You Think That You (as An Individual) Need Professional Help To Stop Self-harming?
Yes, The Only Way I Could Stop Is With Professional Help…
No, I Have Stopped On My Own
No, I Have Stopped On My Own Though I Still Struggle Often And Sometimes Mess Up
I Have No Desire To Stop And Therefore Don’t Need Professional Help
Yes, I Have Stopped With Professional Help
I ‘m trying to stop on my own
I don’t think I could ever stop with or without Professional help :(
7) Are You Trying To Stop Self Harming?
No, And I Don’t Want To Stop Ever.
No, But I Would Like To Be Able To Stop.
Yes, But I Am Not Doing Very Well.
I Have Stopped But I Still Mess Up Every Once In A While.
I Am Completely Self-harm free
8) Does Anyone Know About Your Self Harm?
No. No One Knows.
Some People May Have A Vague Idea Of Something
Yes, But Only My Closest Friends
Yes. But Only Some Of My Family Members
Yes, Some Friends And Family Members Know
Yes, All (or Most Of) My Friends Know
Yes, All (or Most Of) My Family Knows
Yes, Most Of The People In My Life Know
9) How many years have you been self-harming?
1 or less years
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 or more years
10) If You Self-harm, Were You Abused Or Neglected (either As A Child Or Later In Life)?
No
Yes, I Was Emotionally Abused
Yes, I Was Physically Abused
Yes, I Was Sexually Abused
Yes, I Was Emotionally And Physically Abused
Yes, I Was Physically And Sexually Abused
Yes, I Was Sexually And Emotionally Abused
Yes, I Was Emotionally, Physically And Sexually Abused
Yes, I Was Neglected
Yes, I Was Neglected As Well As Being Abused
11) Would you label yourself as emo?
Yes
No
I don’t know
12) Do others label you as emo?
Yes
No
I dont know
13) What would you or others label you as? (chose all that apply)
Please select all that apply.
Prep
Goth
Emo
Punk
Nerd
Poser
Skater
Jock
Scene
Gangster
Other
I don’t do labels
There aren’t really any labels above that fit me
Normal
Muso
14) What is your reaction when you see other people’s self-harm scars/cuts/marks? (choose all that apply)
Please select all that apply.
I want to get to know them
I wonder what they went through & if they are like me
I want to get as far as possible from them so no one will find out about my own self-harm
I will acknowledge them as someone who shares something in common with me
I would never even acknowledge them
Fear
Interest
Sadness
Happiness
Don’t really care
No reaction
Surprise
Relief
(Source: ravishingcataclysm)