Megasurvey Reference
BME Megasurvey Reference Page
Age
- 0 - 10
- 11 - 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20 - 21
- 22 - 24
- 25 - 30
- 31 - 35
- 36 - 40
- 41 - 50
- 51 - 60
- 61 - 70
- over 70
Gender
- Male
- Female
- Transgender M2F (in progress)
- Transgender M2F (done)
- Transgender F2M (in progress)
- Transgender F2M (done)
- Eunuch (castrated)
- Eunuch (penectomized)
Sexual Orientation
- Heterosexual
- Bisexual (primarily heterosexual)
- Bisexual
- Bisexual (primarily gay/lesbian)
- Gay/Lesbian
- Asexual
Race (check all that apply that you currently "identify with")
- Caucasian
- Hispanic or Latino
- Asian or Pacific Islander
- African descent
- Native American
- Middle Eastern
- Other
- Prefer not to say
Country of birth
- Afghanistan
- Albania
- Algeria
- Andorra
- Angola
- Antigua and Barbuda
- Argentina
- Armenia
- Australia
- Austria
- Azerbaijan
- Bahamas
- Bahrain
- Bangladesh
Country of current residence
- Afghanistan
- Albania
- Algeria
- Andorra
- Angola
- Antigua and Barbuda
- Argentina
- Armenia
- Australia
- Austria
- Azerbaijan
- Bahamas
- Bahrain
- Bangladesh
- Barbados
- Belarus
- Belgium
- Belize
- Benin
- Bhutan
- Bolivia
- Bosnia and Herzegovina
- Botswana
- Brazil
- Brunei Darussalam
- Bulgaria
- Burkina Faso
- Burundi
- Cambodia
- Cameroon
- Canada
- Cape Verde
- Central African Republic
- Chad
- Chile
- China
- Colombia
- Comoros
- Congo
- Costa Rica
- Côte d'Ivoire
- Croatia
- Cuba
- Cyprus
- Czech Republic
- Democratic People's Republic of Korea
- Democratic Republic of the Congo
- Denmark
- Djibouti
- Dominica
- Dominican Republic
- Ecuador
- Egypt
- El Salvador
- Equatorial Guinea
- Eritrea
- Estonia
- Ethiopia
- Fiji
- Finland
- France
- Gabon
- Gambia
- Georgia
- Germany
- Ghana
- Greece
- Grenada
- Guatemala
- Guinea
- Guinea-Bissau
- Guyana
- Haiti
- Honduras
- Hungary
- Iceland
- India
- Indonesia
- Iran (Islamic Republic of)
- Iraq
- Ireland
- Israel
- Italy
- Jamaica
- Japan
- Jordan
- Kazakhstan
- Kenya
- Kiribati
- Kuwait
- Kyrgyzstan
- Lao People's Democratic Republic
- Latvia
- Lebanon
- Lesotho
- Liberia
- Libyan Arab Jamahiriya
- Liechtenstein
- Lithuania
- Luxembourg
- Madagascar
- Malawi
- Malaysia
- Maldives
- Mali
- Malta
- Marshall Islands
- Mauritania
- Mauritius
- Mexico
- Micronesia (Federated States of)
- Monaco
- Mongolia
- Morocco
- Mozambique
- Myanmar
- Namibia
- Nauru
- Nepal
- Netherlands
- New Zealand
- Nicaragua
- Niger
- Nigeria
- Norway
- Oman
- Pakistan
- Palau
- Panama
- Papua New Guinea
- Paraguay
- Peru
- Philippines
- Poland
- Portugal
- Qatar
- Republic of Korea
- Republic of Moldova
- Romania
- Russian Federation
- Rwanda
- Saint Kitts and Nevis
- Saint Lucia
- Saint Vincent and the Grenadines
- Samoa
- San Marino
- Sao Tome and Principe
- Saudi Arabia
- Senegal
- Serbia and Montenegro
- Seychelles
- Sierra Leone
- Singapore
- Slovakia
- Slovenia
- Solomon Islands
- Somalia
- South Africa
- Spain
- Sri Lanka
- Sudan
- Suriname
- Swaziland
- Sweden
- Switzerland
- Syrian Arab Republic
- Tajikistan
- Thailand
- The former Yugoslav Republic of Macedonia
- Timor-Leste
- Togo
- Tonga
- Trinidad and Tobago
- Tunisia
- Turkey
- Turkmenistan
- Tuvalu
- Uganda
- Ukraine
- United Arab Emirates
- United Kingdom of Great Britain and Northern Ireland
- United Republic of Tanzania
- United States of America
- Uruguay
- Uzbekistan
- Vanuatu
- Venezuela
- Viet Nam
- Yemen
- Zambia
- Zimbabwe
If you are a resident of the US or Canada, what state/province do you currently live in?
- Not applicable
- Alabama
- Alaska
- Alberta
- Arizona
- Arkansas
- British Columbia
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Manitoba
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Brunswick
- New Hampshire
- New Jersey
- New Mexico
- New York
- Newfoundland
- North Carolina
- North Dakota
- Northwest Territories
- Nova Scotia
- Nunavut
- Ohio
- Oklahoma
- Ontario
- Oregon
- Pennsylvania
- Prince Edward Island
- Quebec
- Rhode Island
- Saskatchewan
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
- Yukon
What type of home were you raised in (choose all that apply)?
- Apartment (5 stories or less)
- Apartment (over 5 stories)
- Condominium
- House (attached; ie. townhouse)
- House (detached; ie. "normal")
- Trailer or mobile home
- Military base
- Homeless
- Other
What type of home do you currently live in?
- Apartment (5 stories or less)
- Apartment (over 5 stories)
- Condominium
- House (attached)
- House (detached)
- Trailer or mobile home
- Military base
- Homeless
- Other
Do you (or who you live with) own or rent?
- Not applicable
- Rent
- Own (paying off mortgage)
- Own (clear)
How would you characterize the area you live in?
- Rural (farming)
- Rural (industrial)
- Rural (other)
- Village or small town
- Small to medium city
- Large city (suburbs)
- Large city (downtown)
- Major metropolis (suburbs)
- Major metropolis (downtown)
How many languages do you speak or read fluently?
- One
- Two
- Three
- Four
- Five or more
Which of the following languages can you speak fluently?
- English
- Mandarin
- Hindustani
- Spanish
- Russian
- Arabic
- Bengali
- Portuguese
- Malay-Indonesian
- French
- German
- Japanese
- Urdu
- Punjabi
- Korean
- Telugu
- Tamil
- Marathi
- Cantonese
- Wu
- Vietnamese
- Javanese
- Italian
- Turkish
- Tagalog
- Thai
- Dutch
- Esperanto
- Finnish
- Greek
- Hebrew
- Icelandic
- Macedonian
- Norwegian
- Polish
- Swedish
How would you describe your intelligence in relation to the average person?
- I am much more intelligent than the average person
- A little smarter
- About average
- Less intelligent
- I am a lot less intelligent than the average person
Are you currently a student?
- No
- Yes (part time)
- Yes (full time)
What is the highest level of education you have completed?
- No recognized schooling completed
- 8th grade or less
- 10th grade
- High school
- Trade or technical school
- Some college or university
- Associates (2-year) college/university degree
- Bachelors (4-year) college/university degree
- Masters degree
- Doctorate/PhD
- Post doctoral studies
Are you currently employed?
- No
- Yes, part-time
- Yes, full-time
- Partially self-employed
- Fully self-employed
Are you currently employed in your "chosen career" (ie. do you like your job)?
- Yes (as a regular employee)
- Yes (as an intern/apprentice)
- No (currently in training)
- No (training complete, but no chosen career job)
- No (used to be, looking again)
- No (other reason)
What field is your current job in?
- Accountant / Actuary
- Administrator/Manager
- Advertising/marketing
- Author/writer/journalist
- Design (Architect, graphic design, etc.)
- Artist or craftsperson
- Attorney / Legal industry
- Bartender
- Construction
- Civil Servant
- Clergy
- Computer/Technical
- Criminal (professionally)
- Driver (Truck/Cab,etc.)
- Engineer
- Factory worker
- Farm worker
- Financial services (ie. Bank worker)
- Food service
- Homemaker
- Insurance industry
- Librarian
- Machinist/Mechanic
- Manual labor
- Media production (all types)
- Medical/dental profession
- Military
- Modification artist (tattoo artist, piercer, etc.)
- Musician
- Photographer
- Police/Law Enforcement
- Politician
- Postal Worker
- Real Estate Agent/Broker
- Retail Industry
- Retired
- Scientist
- Secretary/Clerical
- Security (including Bouncer, etc.)
- Service Industry (Hairdresser/manicurist, etc)
- Stripper or other sex industry worker
- Student
- Teacher/Educator
- Unemployed
- Other
What field is your goal job in?
- Accountant / Actuary
- Administrator/Manager
- Advertising/marketing
- Author/writer/journalist
- Design (Architect, graphic design, etc.)
- Artist or craftsperson
- Attorney / Legal industry
- Bartender
- Construction
- Civil Servant
- Clergy
- Computer/Technical
- Criminal (professionally)
- Driver (Truck/Cab,etc.)
- Engineer
- Factory worker
- Farm worker
- Financial services (ie. Bank worker)
- Food service
- Homemaker
- Insurance industry
- Librarian
- Machinist/Mechanic
- Manual labor
- Media production (all types)
- Medical/dental profession
- Military
- Modification artist (tattoo artist, piercer, etc.)
- Musician
- Photographer
- Police/Law Enforcement
- Politician
- Postal Worker
- Real Estate Agent/Broker
- Retail Industry
- Retired
- Scientist
- Secretary/Clerical
- Security (including Bouncer, etc.)
- Service Industry (Hairdresser/manicurist, etc)
- Stripper or other sex industry worker
- Student
- Teacher/Educator
- Unemployed
- Other
How would you rate your financial situation in comparison to your peers?
- Much better off
- Better off
- About the same
- Worse off
- Much worse off
How would you rate your financial situation in comparison to your community?
- Much better off
- Better off
- About the same
- Worse off
- Much worse off
What is your annual salary (in US dollars)?
- Prefer not to say
- Not working
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
How much cash do you have right now in cold cash, savings, loose change, bank accounts, and so on (in US dollars)?
- Prefer not to say
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
How much cash do you have right now in investments and assets (in US dollars)?
- Prefer not to say
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- $300k - $750k
- over $750k
How much debt do you have right now (in US dollars)?
- Prefer not to say
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
Have you ever received any of the following?
- Unemployment Insurance
- Disability
- Student financial aid
- Food stamps, etc.
- Welfare
- Medical Insurance (including socialized healthcare)
- Other government assistance
Are you currently receiving any of the following?
- Unemployment Insurance
- Disability
- Student financial aid
- Food stamps, etc.
- Welfare
- Medical Insurance (including socialized healthcare)
- Other government assistance
When you make routine purchases (food, gas, etc.), you most commonly pay with:
- Cash
- Check
- Check or Debit Card (bank card)
- Credit card
When you make larger purchases (computers, stereos, etc.), you most commonly pay with:
- Cash
- Check
- Check or Debit Card (bank card)
- Credit card
Compared with your financial situation a year ago, are you now...
- Much worse off
- A little worse off
- About the same
- A little better off
- Much better off
Which of the following insurance(s), if any, do you have?
- Medical (including socialized healthcare)
- Mental health (including socialized healthcare)
- Prescription drug
- Dental
- Eyes
- Car
- Homeowner/renter
- Business
- Other
33. Who raised you (check all that apply)?
- Mother
- Father
- Step Mother
- Step Father
- Grandmother
- Grandfather
- Aunt
- Uncle
- Other relative
- Adoptive mother
- Adoptive father
- Nanny
- Non-relative
- State organizations (ie. foster homes, etc.)
Who do you feel closest to?
- Mother
- Father
- Both
- Neither
Which of the following types of siblings do you have (check all that apply or none)?
- Older brother(s)
- Older sister(s)
- Twin brother
- Twin sister
- Younger brother(s)
- Younger sister(s)
- Adopted siblings
- Step-siblings
Who do you currently live with (check all that apply or none if you live alone)?
- Mother
- Father
- Siblings
- Children
- Other relatives
- Friend(s)
- Partner
- Unrelated group (ie. dorms, etc.)
Do you have any children?
- No
- Unknown/maybe
- Currently pregnant (or partner is)
- One child
- More than one child
What is the highest education level of your mother?
- Unknown or Not Applicable
- No recognized schooling completed
- 8th grade or less
- 10th grade
- High school
- Trade or technical school
- Some college or university
- Associates (2-year) college/university degree
- Bachelors (4-year) college/university degree
- Masters degree
- Doctorate/PhD
- Post doctoral studies
What is the highest education level of your father?
- Unknown or Not Applicable
- No recognized schooling completed
- 8th grade or less
- 10th grade
- High school
- Trade or technical school
- Some college or university
- Associates (2-year) college/university degree
- Bachelors (4-year) college/university degree
- Masters degree
- Doctorate/PhD
- Post doctoral studies
What is the annual salary of your mother (in US dollars)?
- Prefer not to say
- Don't know
- Not working
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
What is the annual salary of your father (in US dollars)?
- Prefer not to say
- Don't know
- Not working
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
What field does your mother work in?
- Accountant / Actuary
- Administrator/Manager
- Advertising/marketing
- Author/writer/journalist
- Design (Architect, graphic design, etc.)
- Artist or craftsperson
- Attorney / Legal industry
- Bartender
- Construction
- Civil Servant
- Clergy
- Computer/Technical
- Criminal (professionally)
- Driver (Truck/Cab,etc.)
- Engineer
- Factory worker
- Farm worker
- Financial services (ie. Bank worker)
- Food service
- Homemaker
- Insurance industry
- Librarian
- Machinist/Mechanic
- Manual labor
- Media production (all types)
- Medical/dental profession
- Military
- Modification artist (tattoo artist, piercer, etc.)
- Musician
- Photographer
- Police/Law Enforcement
- Politician
- Postal Worker
- Real Estate Agent/Broker
- Retail Industry
- Retired
- Scientist
- Secretary/Clerical
- Security (including Bouncer, etc.)
- Service Industry (Hairdresser/manicurist, etc)
- Stripper or other sex industry worker
- Student
- Teacher/Educator
- Unemployed
- Other
What field does your father work in?
- Accountant / Actuary
- Administrator/Manager
- Advertising/marketing
- Author/writer/journalist
- Design (Architect, graphic design, etc.)
- Artist or craftsperson
- Attorney / Legal industry
- Bartender
- Construction
- Civil Servant
- Clergy
- Computer/Technical
- Criminal (professionally)
- Driver (Truck/Cab,etc.)
- Engineer
- Factory worker
- Farm worker
- Financial services (ie. Bank worker)
- Food service
- Homemaker
- Insurance industry
- Librarian
- Machinist/Mechanic
- Manual labor
- Media production (all types)
- Medical/dental profession
- Military
- Modification artist (tattoo artist, piercer, etc.)
- Musician
- Photographer
- Police/Law Enforcement
- Politician
- Postal Worker
- Real Estate Agent/Broker
- Retail Industry
- Retired
- Scientist
- Secretary/Clerical
- Security (including Bouncer, etc.)
- Service Industry (Hairdresser/manicurist, etc)
- Stripper or other sex industry worker
- Student
- Teacher/Educator
- Unemployed
- Other
How would you characterize your childhood?
- Extremely happy
- Happy
- Average
- Unhappy
- Extremely unhappy
Were you a victim of any childhood abuse? (check all that apply, if any)
- General emotional abandonment
- Physical abuse by mother
- Mental abuse by mother
- Sexual abuse by mother
- Physical abuse by father
- Mental abuse by father
- Sexual abuse by father
- Physical abuse by sibling
- Mental abuse by sibling
- Sexual abuse by sibling
- Physical abuse by other family member
- Mental abuse by other family member
- Sexual abuse by other family member
- Physical abuse by non-family member
- Mental abuse by non-family member
- Sexual abuse by non-family member
What is the marital status of your parents (or step parents if you consider them your primary parents)?
- Not applicable or Unknown
- Never married, but still together
- Married
- Separated
- Divorced
- Widowed
Which of the following events do you remember as being significant in your youth (check any that apply)?
- Death of father
- Death of mother
- Death of sibling
- Death of relative
- Other death
- Death of pet
- "Evil stepparent"
- Remarriage
- Kicked out of house
- Realizing you're not the favorite child
- Punished for telling the truth
- Punished for "being who you are"
- Being forced to perform or take lessons in something
- Being the family scapegoat
- Parents reading secret diary
- Being forced to wear stupid clothes
- Military school
- Threats of military school
- Summer school/camp
- Controlling parents
- Lax parents
- Being called "bad"
- Making your mother/father cry
How would you rank your personal physical health in general (ie. how often you get sick, how your body feels, etc.)?
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
- Terminally ill
How would you describe your level of physical fitness and cardiovascular health?
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
How would you describe your weight?
- Extremely overweight
- Overweight
- "Normal" Weight
- Underweight
- Extremely underweight
Which of the following best describes your diet?
- Meat-heavy
- Balanced including meat
- Minimal meat
- Vegetarian
- Full vegan
On the average day, which of the following do you eat?
- Breakfast
- Morning snack
- Lunch
- Afternoon snack
- Dinner/supper
- Late-night snack
How healthy would you consider your diet?
- Extremely healthy
- Relatively healthy
- Average
- Relatively unhealthy
- Extremely unhealthy
How often do you get active physical exercise?
- Daily
- Every couple days
- About once a week
- About once a month
- Rarely
- Never
How do you exercise or stay fit? (check all that apply)
- Not applicable
- Outside
- At home
- Friend's home
- School facility/gym
- Work facility/gym
- Community facility/gym
- Commercial facility/gym
- Martial Arts Dojo
- Other
Do you have any of the following? (check off any that apply)
- High blood pressure
- High cholesterol
- TMJ disorder
- Heart problems
- Limited Vision
- Limited Hearing
- Digestive disorders
- Skin disorders
- Cancer
- Lung problems
- Other physical problem
How would you describe your mental health?
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
Do you have any of the following? (check off any that apply)
- Sleep disorders
- Any eating disorder
- Seasonal Affective Disorder (SAD)
- Depression
- Borderline personality disorder
- Anxiety/panic attacks
- Avoidant personality disorder
- Post-traumatic stress disorder (PTSD)
- Obsessive-compulsive disorder (OCD)
- Schizophrenia
- Attention Deficit Hyperactivity Disorder(ADD/ADHD)
- Schizotypal Personality Disorder
- Feelings of sexual inadequacy
- Sexual disorder (ie. premature ejaculation, etc.)
- Other mental health problem
Are you currently prescribed any mental health medication?
- No
- Yes
Have you ever been prescribed any mental health medication?
- No
- Yes
Are you currently undergoing psychotherapy or seeing a doctor on a regular basis regarding mental health issues?
- No
- Yes
Have you ever undergone psychotherapy or seen a doctor on a regular basis regarding mental health issues?
- No
- Yes
How many times have you attempted suicide?
- Never
- Never, but I have contemplated it
- Once
- More than once
- A lot
Are you a self-cutter (ie. do you cut yourself to relieve emotional stress)?
- No, never
- No (but I was in the past)
- Yes
How many hours do you sleep a night on average?
- 0 - 2
- 2 - 4
- 4 - 5
- 5 - 6
- 6 - 7
- 7 - 8
- 8 - 9
- 10 - 12
- more than 12
Do you feel that you are getting enough sleep?
- Yes, too much sleep
- Just right
- No, too little sleep
Do you suffer from any of the following sleep disorders? (check any that apply)
- Trouble falling asleep
- Abnormally light sleeper
- Abnormally heavy sleeper
- Require sleeping pills
- Persistent Nightmares
- Night terrors
- Sleepwalking
Which of the following statements are true (check all that apply):
- I wish I was taller
- I wish I was shorter
- I wish I was heavier
- I wish I was lighter
- I wish I was in better physical condition
- I wish I was a different race
- I with I had larger genitals
- I wish I had smaller genitals
- I think I smell bad
- I wish I had more hair
- I wish I had less hair
- I wish I was more attractive
- I wish I was less attractive
- I wish I was "cooler"
- I wish I had more friends
- I wish I was funnier
How would you rate your face in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
How would most strangers rate your face in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
How would your rate your body in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
How would most strangers rate your body in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
How often do you masturbate?
- Never
- Once a year or less
- Once a month or less
- A few times a month
- A few times a week
- Daily
- Several times daily
Which of the following best describes your sex drive?
- Asexual
- Not very sexual
- About average sexually
- More sexual than average
- Extremely sexual
Do you enjoy traditional pornography?
- No
- Not much
- A little
- A lot
- Yes, obsessively
Do you enjoy BME/HARD-style pornography?
- No
- Not much
- A little
- A lot
- Yes, obsessively
How old were you when you lost your oral virginity?
- Still a virgin
- 0 - 5
- 6 - 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- over 40
Was losing your oral virginity voluntary?
- Not applicable
- Yes, totally
- Yes, but in hindsight I was coerced
- Yes, but I regretted it later
- Yes, but I was intoxicated
- No, I was a victim of incest
- No, I was raped
How old were you when you lost your vaginal virginity?
- Still a virgin
- 0 - 5
- 6 - 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- over 40
Was losing your vaginal virginity voluntary?
- Not applicable
- Yes, totally
- Yes, but in hindsight I was coerced
- Yes, but I regretted it later
- Yes, but I was intoxicated
- No, I was a victim of incest
- No, I was raped
How old were you when you lost your anal virginity?
- Still a virgin
- 0 - 5
- 6 - 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- over 40
Was losing your anal virginity voluntary?
- Not applicable
- Yes, totally
- Yes, but in hindsight I was coerced
- Yes, but I regretted it later
- Yes, but I was intoxicated
- No, I was a victim of incest
- No, I was raped
How many sexual partners of the opposite sex have you had in the last 12 months?
- Zero
- 1
- 2
- 3
- 4 - 5
- 6 - 8
- 9 - 12
- 13 - 16
- over 16
How many sexual partners of the opposite sex have you had in your entire life?
- Zero
- 1
- 2
- 3
- 4 - 5
- 6 - 8
- 9 - 12
- 13 - 16
- 17 - 25
- 26 - 50
- 51 - 100
- 101 - 200
- 201 - 500
- over 500
How many sexual partners of the same sex have you had in the last 12 months?
- Zero
- 1
- 2
- 3
- 4 - 5
- 6 - 8
- 9 - 12
- 13 - 16
- over 16
How many sexual partners of the same sex have you had in your entire life?
- Zero
- 1
- 2
- 3
- 4 - 5
- 6 - 8
- 9 - 12
- 13 - 16
- 17 - 25
- 26 - 50
- 51 - 100
- 101 - 200
- 201 - 500
- over 500
Have you ever engaged in beastialty (ie. sex with an animal)?
- Never have, never will
- Never have, would like to
- Yes, once
- Yes, multiple times
- Yes, still do
What is the largest number of people you have had sex with at once?
- Not applicable
- One
- Two
- Three
- Four
- Five or more
Have you ever paid for sex (cash, drugs, etc.)?
- Never
- Once
- A few times
- Regularly
Have you ever been paid for sex (cash, drugs, etc.)?
- Never
- Once
- A few times
- Regularly
- Kissing
- Oral Sex (giving)
- Oral sex (receiving)
- Vaginal Sex
- Anal sex (giving)
- Anal sex (receiving)
- Fisting, vaginal
- Fisting, anal
- Bondage
- Whipping/caning/spanking
- Cutting
- Play piercing
- Permanent piercing
- Tattooing
- Master/slave
- Chastity
- Private humiliation
- Public humiliation
- Exhibitionism
- Electro or fire play
- Watersports
- Scat
<a name="#92">92. Which of the following would you like to try in a sexual context? (check all that apply)<p>
- Kissing
- Oral Sex (giving)
- Oral sex (receiving)
- Vaginal Sex
- Anal sex (giving)
- Anal sex (receiving)
- Fisting, vaginal
- Fisting, anal
- Bondage
- Whipping/caning/spanking
- Cutting
- Play piercing
- Permanent piercing
- Tattooing
- Master/slave
- Chastity
- Private humiliation
- Public humiliation
- Exhibitionism
- Electro or fire play
- Watersports
- Scat
<a name="#93">93. Have you ever been raped?<p>
- Never
- Maybe, but I'm not sure if it was rape
- Yes
- Yes, multiple times
<a name="#94">94. Do you use sexual protection devices (ie. condoms, the pill, etc.)?<p>
- Not applicable
- Never (don't care)
- Never (not an issue)
- Yes, for birth control
- Yes, for STD protection
- Yes, for birth control and STD protection
<a name="#95">95. Which of the following STDs are you currently suffering from or have suffered from in the past, that you know of?<p>
- AIDS/HIV
- Chancroid(s)
- Chlamydia
- Crabs
- Gonorrhea
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Herpes
- Genital Warts
- Mulluscum Contagiosum
- Nongonococcal urethritis
- PID
- Scabies
- Syphillis
- Vaginitis/Yeast Infection
<a name="#96">96. Do you inform your partners of your STDs?<p>
- Not applicable
- Yes, but I have none
- Yes, always
- Sometimes
- Never
<a name="#97">97. How would you rate your sexual performance from your partner's point of view?<p>
- Not applicable
- Extremely good
- Good
- Average
- Not every good
- Extremely poor
<a name="#98">98. How much do you enjoy sexual contact with others?<p>
- Not applicable
- Extremely enjoyable
- Good
- Average
- Don't enjoy
- Strongly dislike
<a name="#99">99. What role have your body modifications played in your sex life (mentally; ie. how you feel about yourself erotically)?<p>
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
<a name="#100">100. What role have your body modifications played in your sex life (physically; ie. does it make it feel better)?<p>
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
<a name="#101">101. What role have your partner's body modifications played in your sex life (mentally; ie. does it make them more attractive)?<p>
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
<a name="#102">102. What role have your partner's body modifications played in your sex life (physically; ie. does it make it feel better)?<p>
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
<a name="#103">103. I am attracted primarily to (check any that apply):<p>
- Not applicable
- People much younger than me
- People younger than me
- People about the same age as me
- People older than me
- People much older than me
<a name="#104">104. Have you ever tried any of the following? (check all that apply)<p>
- Caffeine
- Alcohol
- Tobacco
- Marijuana
- LSD/shrooms
- Ecstasy
- Other psychedelic drugs
- Poppers
- Cocaine
- Heroin
- Crack
- Crystal Meth
- Other illegal drug
<a name="#105">105. Are you straightedge (ie. no drinking, drugs, etc.)?<p>
- No
- Yes, but not by name
- Yes
- Yes, "militant"
<a name="#106">106. How often do you use caffeine (ie. coffee, tea, Bawls, etc.)?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#107">107. How often do you use alcohol (ie. beer, wine, martinis, etc.)?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#108">108. How often do you use tobacco (ie. cigarettes, cigars, etc.)?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#109">109. How often do you use marijuana?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#110">110. How often do you use LSD or shrooms?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#111">111. How often do you use Ecstasy?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#112">112. How often do you use other psychedelic drugs (ie. GHB, MDA, etc.)?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#113">113. How often do you use poppers?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#114">114. How often do you use cocaine?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#115">115. How often do you use heroin?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#116">116. How often do you use crack?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#117">117. How often do you use crystal meth?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#118">118. How often do you use other illegal drugs?<p>
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
<a name="#119">119. How would you describe the impact of substance use on your life?<p>
- Not applicable
- Extremely positive
- Mildly positive
- No effect
- Mildly damaging
- Extremely damaging
<a name="#120">120. Have you ever committed any of the following (even if you weren't caught)? (check all that apply)<p>
- Parking offense
- Minor traffic offense
- Major traffic offense
- Drug or alcohol related driving offence
- Drug related offense (usage)
- Drug related offense (trafficking or dealing)
- Weapons related offense
- Political offense (ie. arrest at protest, etc)
- Shoplifting
- Minor theft
- Major theft
- Fraud
- Rape
- Incest
- Assault where you were the aggressor
- Assault/fighting (mutually started)
- Murder
- Terrorism
- Computer Crime
- Vandalism
- Other minor crime
- Other major crime
<a name="#121">121. How would you describe your driving (check all that apply)?<p>
- Don't drive
- Very safe
- Reckless
- Habitual speeder
- Poor driver
- Average
<a name="#122">122. How would you rate your truthfulness in general?<p>
- Habitual liar
- Mild liar
- Average
- Overly truthful
- Obsessively truthful
<a name="#123">123. Which of the following activities have you taken part in? (check all that apply)<p>
- Martial arts
- Bungee jumping
- Roller-coasters
- Motorcycle riding
- Go-carts
- Nude beach
- Driving without a license
- Used a fake ID
- Used a fake ID to get a body modification
- Carried a concealed weapon
- Drag raced (on the street or track)
- Evaded taxes
- Bought stolen items
- Used pirate software
- Traded pirate software
- Been at a riot or protest that got out of hand
- Looted
- Flashed or mooned someone
<a name="#124">124. Do you own any weapons? (check all that apply)<p>
- Knives
- Swords
- Nunchuks/Martial arts weapons
- Rifles
- Shotguns
- Handguns
- Automatic guns
- Bows or crossbows
- Other weaponry
<a name="#125">125. How often do you visit BME (as in the main site)?<p>
- Rarely or never
- Monthly
- Weekly
- Every few days
- Daily
<a name="#126">126. How long have you been reading BME?<p>
- Less than a month
- 1 - 6 months
- 7 - 12 months
- 12 - 24 months
- 2 - 4 years
- More than 5 years
<a name="#127">127. What is the highest level of membership you currently have to BME?<p>
- No membership
- Extreme2, free
- Extreme2, paid
- Full, free
- Full, paid
<a name="#128">128. What is the highest level of membership you have ever had to BME?<p>
- No membership ever
- Extreme2, free
- Extreme2, paid
- Full, free
- Full, paid
<a name="#129">129. How long have you been a member of IAM?<p>
- Less than a month
- 1 - 3 months
- 4 - 6 months
- 7 - 12 months
- Between 1 and 2 years
- Over 2 years
<a name="#130">130. Is IAM your primary homepage or online journal?<p>
- Yes, it's my only one
- Yes, but not my only one
- No, I have a different one
- No, I have no real online journal
<a name="#131">131. Have you ever attended an IAM or BME meet in person?<p>
- No
- No, but I want to
- Yes
- Yes, many times
<a name="#132">132. What percentage of your immediate peer groupd (ie. your friends) also have IAM pages?<p>
- Zero
- Less than 10%
- 10% - 25%
- 25% - 50%
- 50% - 75%
- Almost all
- All of them
<a name="#133">133. Have you ever "hooked up" with someone from BME (via IAM, the personals, or writing them) as a friend?<p>
- Never
- No, but that would be great
- Yes, once (briefly)
- Yes, once (long-term)
- Yes, multiple times
<a name="#134">134. Have you ever "hooked up" with someone from BME (via IAM, the personals, or writing them) as a sexual partner?<p>
- Never
- No, but that would be great
- Yes, once (briefly)
- Yes, once (long-term)
- Yes, multiple times
<a name="#135">135. Have you ever emailed or otherwise contacted someone from BME because of their body modifications?<p>
- Never
- Yes
- Yes, multiple times
<a name="#136">136. Have you ever attended a tattoo convention?<p>
- No
- No, but I want to
- Yes
- Yes, more than once
<a name="#137">137. Have you ever attended a sideshow event (ie. Jim Rose, The Lizardman, Puzzilion, etc.)?<p>
- No
- No, but I want to
- Yes
- Yes, more than once
<a name="#138">138. Have you ever attended a fetish party or public BDSM event?<p>
- No
- No, but I want to
- Yes
- Yes, more than once
<a name="#139">139. Have you ever attended a cutter party (ie. castration party, ModCon, etc.)?<p>
- No
- No, but I want to
- Yes
- Yes, more than once
<a name="#140">140. Have you ever attended a private BDSM party or play party?<p>
- No
- No, but I want to
- Yes
- Yes, more than once
<a name="#141">141. How often do you visit IAM?<p>
- Rarely or never
- Montly
- Weekly
- Every few days
- Daily
- Several times daily
- Any time I'm online, I'm on IAM
<a name="#142">142. Including paid IAM memberships, how much money have you donated to IAM (not including BME memberships, unless you got them solely for IAM access), in US dollars?<p>
- Zero
- Up to $10
- $10.01 to $20
- $20.01 to $50
- $50.01 to $100
- $100.01 to $200
- $200.01 to $500
- Over $500
<a name="#143">143. How much money have you spent at BMEshop in US dollars?<p>
- Zero
- Up to $20
- $20.01 to $50
- $50.01 to $100
- $100.01 to $200
- $200.01 to $500
- $500.01 to $1000
- Over $1000
<a name="#144">144. Do you visit any other body modification sites?<p>
- Never
- Rarely
- Monthly
- Weekly
- Every few days
- Daily
<a name="#145">145. Do you have a paid membership to any other online sites (ie. porn sites, news sites, etc.)?<p>
- Yes, several
- Yes
- No
- Not any more
<a name="#146">146. "Hand guns should be legally available to all adults."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#147">147. "Marijuana should be legal."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#148">148. "It is the government's responsibility to make sure that everyone has adequate health insurance."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#149">149. "It's important to support your country, right or wrong."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#150">150. "Body piercing shouldn't be permitted at school."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#151">151. "My race is superior to other races."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#152">152. "I'm proud of my race."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#153">153. "Rich people should pay more taxes than poor people."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#154">154. "Free markets equal free people."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#155">155. "Abortion should be legal."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#156">156. "Taxes should go to supporting the arts, museums, and so on (among other things)."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#157">157. "War is murder / War is ignorance"<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#158">158. "Pornography of all kinds (as long as it's not directly hurting someone) should be legal for adults."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#159">159. "Same sex couples should be allowed to marry and adopt children."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#160">160. "Homosexuality is normal and should be supported in young people."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#161">161. "Society would be a lot better off if people started going to church more often."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#162">162. "A mother's place is in the home."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#163">163. "If political leaders betray their country, it is the population's duty to revolt."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#164">164. "I support environmental causes."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#165">165. "The death penalty is appropriate for some crimes."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#166">166. "I am worried about government powers of surveillance."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#167">167. "I trust my government."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#168">168. "There should be limits to free speech (ie. racism, child porn, etc.)"<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#169">169. "I am a libertarian."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#170">170. "I have conservative politics and views."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#171">171. "It is important for people to do volunteer service in their community"<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#172">172. "I volunteer regularly."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#173">173. "I support euthanasia and someone's right to die."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#174">174. "Prostitution should be legal."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#175">175. "The world would be a better place if everyone was just content to look alike."<p>
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
<a name="#176">176. Is it acceptable for a person to get body modifications that their partner does not like?<p>
- Yes
- Yes, but only if it won't damage the relationship
- No
<a name="#177">177. What is the youngest someone should legally be permitted to get a non-face tattoo?<p>
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- 30
- Never
<a name="#178">178. What is the youngest someone should legally be permitted to tattoo their face at?<p>
- Any age
- 16
- 18
- 19
- 21
- 25
- 30
- Never
<a name="#179">179. What is the youngest someone should legally be permitted to get an ear piercing?<p>
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
<a name="#180">180. What is the youngest someone should legally be permitted to get a non-ear facial piercing?<p>
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
<a name="#181">181. What is the youngest someone should legally be permitted to get a navel piercing?<p>
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
<a name="#182">182. What is the youngest someone should legally be permitted to get a nipple piercing?<p>
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- Never
<a name="#183">183. What is the youngest someone should legally be permitted to get a genital piercing?<p>
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- Never
<a name="#184">184. What is the youngest someone should legally be permitted to do a flesh-hook suspension?<p>
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- 30
- Never
<a name="#185">185. To what extent do politics (ie. cultural revolution, etc.) play a role in your body modifications?<p>
- Not at all
- Minimally
- A bit
- A lot
- Primary importance
<a name="#186">186. Are you more likely to get modifications during times of social or political stress (ie. war, recession, etc.)?<p>
- Much more likely
- More likely
- No change
- Less likely
- Much less likely
<a name="#187">187. Are you more likely to engage in ritual (play piercing, suspension, etc.) during times of social or political stress?<p>
- Much more likely
- More likely
- No change
- Less likely
- Much less likely
<a name="#188">188. I currently have the following piercings (check all that apply):<p>
- Earlobe (small)
- Stretched earlobe, under 1"
- Stretched earlobe, over 1"
- Ear cartilage piercing
- Eyebrow
- Nostril
- Septum
- Lip ring or labret
- Madonna or Medusa
- Cheek piercing
- Tongue piercing
- Tongue web piercing
- Other facial piercing
- Prince albert
- Ampallang or Apadravya
- Dydoe
- Frenum
- Scrotal piercing
- Guiche
- Other male genital piercing
- Horizontal hood piercing
- Vertical hood piercing
- Inner Labial piercing
- Outer Labial piercing
- Christina
- Princess Albertina
- Other female genital piercing
- Nipple piercing
- Navel piercing
- Pocketing or Stapling
- Surface piercing
- Other piercing(s)
<a name="#189">189. I once had but no longer have the following piercings (check all that apply):<p>
- Earlobe (small)
- Stretched earlobe, under 1"
- Stretched earlobe, over 1"
- Ear cartilage piercing
- Eyebrow
- Nostril
- Septum
- Lip ring or labret
- Madonna or Medusa
- Cheek piercing
- Tongue piercing
- Tongue web piercing
- Other facial piercing
- Prince albert
- Ampallang or Apadravya
- Dydoe
- Frenum
- Scrotal piercing
- Guiche
- Other male genital piercing
- Horizontal hood piercing
- Vertical hood piercing
- Inner Labial piercing
- Outer Labial piercing
- Christina
- Princess Albertina
- Other female genital piercing
- Nipple piercing
- Navel piercing
- Pocketing or Stapling
- Surface piercing
- Other piercing(s)
<a name="#190">190. I plan to but do not currently have the following piercings (check all that apply):<p>
- Earlobe (small)
- Stretched earlobe, under 1"
- Stretched earlobe, over 1"
- Ear cartilage piercing
- Eyebrow
- Nostril
- Septum
- Lip ring or labret
- Madonna or Medusa
- Cheek piercing
- Tongue piercing
- Tongue web piercing
- Other facial piercing
- Prince albert
- Ampallang or Apadravya
- Dydoe
- Frenum
- Scrotal piercing
- Guiche
- Other male genital piercing
- Horizontal hood piercing
- Vertical hood piercing
- Inner Labial piercing
- Outer Labial piercing
- Christina
- Princess Albertina
- Other female genital piercing
- Nipple piercing
- Navel piercing
- Pocketing or Stapling
- Surface piercing
- Other piercing(s)
<a name="#191">191. I got my first piercing at age:<p>
- No piercings
- As a baby
- 1 - 5
- 6 - 10
- 11 - 13
- 14
- 15
- 16
- 17
- 18
- 19 - 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- 41 - 50
- Over 50
<a name="#192">192. I got my first non-earlobe piercing (ie. septum, lip, nipples, navel, etc.) at age:<p>
- No non-earlobe piercings
- As a baby
- 1 - 5
- 6 - 10
- 11 - 13
- 14
- 15
- 16
- 17
- 18
- 19 - 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- 41 - 50
- Over 50
<a name="#193">193. I got my first body or genital piercing at age:<p>
- No genital piercings
- Under 11
- 11 - 13
- 14
- 15
- 16
- 17
- 18
- 19 - 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- 41 - 50
- Over 50
<a name="#194">194. How much money (in US dollars) have you spent on piercings including the cost of piercings and jewelry?<p>
- Zero
- Under $50
- $50 to $100
- $100.01 to $200
- $200.01 to $350
- $350.01 to $500
- $500.01 to $1000
- Over $1000
<a name="#195">195. The following people did my piercings (check all that apply):<p>
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional piercer
- Mall piercer
- Doctor or medical professional
- Other
<a name="#196">196. How happy are you with how your piercings turned out?<p>
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
<a name="#197">197. The following statements are true about my piercings (check all that apply):<p>
- I wish I had less piercings
- I wish I had more piercings
- I wish my lobes were bigger
- I wish my lobes were smaller
- I wish I had taken better care of my piercings
- I wish I went to a better piercer
<a name="#198">198. Have you ever had any of the following complications? (Check any that apply)<p>
- Difficultly healing or lengthy healing
- Minor infection
- Major infection
- Allergic reaction
- Rejection
- Thinning
- Scarring (ie. blowout, etc.)
- Physically discomfort
- Excessive bleeding
- Didn't feel right mentally
- Other problem
<a name="#199">199. Have you ever removed any piercings for the following complications? (Check any reasons that apply)<p>
- They weren't healing
- They were infected
- Allergic reaction
- They were rejecting
- They were thinning
- They were scarring (ie. blowout, etc.)
- Due to work
- Due to school
- Due to family
- Due to military service
- Due to partner
- I got tired of them
- Not physically comfortable
- Didn't feel right mentally
- Other reasons
<a name="#200">200. How would you describe your relationship with your body piercer?<p>
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
<a name="#201">201. I currently have tattoos on the following locations (check all that apply):<p>
- Face (front)
- Chin
- Inner lip
- Scalp
- Neck (back)
- Neck (side)
- Neck (front)
- Left shoulder
- Left upper arm
- Left forearm
- Left Wrist
- Left hand
- Right shoulder
- Right upper arm
- Right forearm
- Right Wrist
- Right hand
- Collar
- Left Chest
- Center Chest
- Right Chest
- Right ribs/side
- Stomache
- Left ribs/side
- Upper back
- Central back
- Lower back
- Ass
- Left hip
- Pubic Region
- Right hip
- Genital tattoo
- Left upper leg
- Left lower leg
- Left ankle
- Left foot
- Right upper leg
- Right lower leg
- Right ankle
- Right foot
- Other
<a name="#202">202. I plan on having more tattoos on the following locations (ie. that I don't currently have) (check all that apply):<p>
- Face (front)
- Chin
- Inner lip
- Scalp
- Neck (back)
- Neck (side)
- Neck (front)
- Left shoulder
- Left upper arm
- Left forearm
- Left Wrist
- Left hand
- Right shoulder
- Right upper arm
- Right forearm
- Right Wrist
- Right hand
- Collar
- Left Chest
- Center Chest
- Right Chest
- Right ribs/side
- Stomache
- Left ribs/side
- Upper back
- Central back
- Lower back
- Ass
- Left hip
- Pubic Region
- Right hip
- Genital tattoo
- Left upper leg
- Left lower leg
- Left ankle
- Left foot
- Right upper leg
- Right lower leg
- Right ankle
- Right foot
- Other
<a name="#203">203. Have you ever had tattoos removed?<p>
- Not applicable
- Never
- One
- Several
- Many
<a name="#204">204. Have you ever had tattoos covered up by other tattoos?<p>
- Not applicable
- Never
- One
- Several
- Many
<a name="#205">205. I got my first tattoo at age:<p>
- No tattoos
- Under 11
- 11 - 13
- 14
- 15
- 16
- 17
- 18
- 19 - 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- 41 - 50
- Over 50
<a name="#206">206. How much money (in US dollars) have you spent on tattoos?<p>
- Zero
- Under $100
- $100 to $200
- $200.01 to $500
- $500.01 to $1,000
- $1,000.01 to $2,000
- $2,000.01 to $5,000
- $5,000.01 to $10,000
- Over $10,000
<a name="#207">207. The following people did my tattoos (check all that apply):<p>
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional artist
- Fellow Prisoner
- Other
<a name="#208">208. The following people designed my tattoos (check all that apply):<p>
- Me
- Sibling
- Parent
- Other relative
- Friend
- Flash (wall)
- Found art (exact)
- Found art (based on)
- Professional artist
- Fellow Prisoner
- Other
<a name="#209">209. How happy are you with how your tattoos turned out?<p>
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
<a name="#210">210. How would you describe your relationship with your tattoo artist?<p>
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
<a name="#211">211. What styles of tattoos do you have (check all that apply):<p>
- Tribal
- Lettering
- "New Skool"
- "Old School"
- Stars
- Kanji
- Cartoons
- Traditional Fantsy (warriors, Vikings, etc.)
- Biomechanical
- "Scary" stuff (skulls, demons, etc.)
- Celtic
- Dragons, European
- Dragons, Asian
- Oriental
- Portrait
- Political
- Religious
- Sexual
- Other
<a name="#212">212. I have voluntary scarifications in the following locations (check all that apply):<p>
- Facial
- Chin
- Scalp
- Neck
- Upper arm or shoulder
- Lower arm
- Hand
- Torso, upper
- Torso, lower
- Pubic
- Genital
- Ass
- Upper leg
- Lower leg
- Foot
<a name="#213">213. How much money (in US dollars) have you spent on scarification?<p>
- Zero
- Under $50
- $50 to $100
- $100.01 to $200
- $200.01 to $350
- $350.01 to $500
- $500.01 to $1000
- Over $1000
<a name="#214">214. I plan on having voluntary scarifications in the following locations (check all that apply):<p>
- Facial
- Chin
- Scalp
- Neck
- Upper arm or shoulder
- Lower arm
- Hand
- Torso, upper
- Torso, lower
- Pubic
- Genital
- Ass
- Upper leg
- Lower leg
- Foot
<a name="#215">215. I got my first voluntary scarification at age:<p>
- No piercings
- As a baby
- 1 - 5
- 6 - 10
- 11 - 13
- 14
- 15
- 16
- 17
- 18
- 19 - 20
- 21 - 22
- 23 - 25
- 26 - 30
- 31 - 40
- 41 - 50
- Over 50
<a name="#216">216. The following people did my scarifications (check all that apply):<p>
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional piercer
- Professional tattoo artist
- Scarification artist (that was not also a piercer or tattooist)
- Fraternity brother
- Other
<a name="#217">217. How happy are you with how your scarifications turned out?<p>
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
<a name="#218">218. How would you describe your relationship with your scarification artist?<p>
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
<a name="#219">219. Were you circumcised as a baby or youth?<p>
- Not applicable
- Not circumcised
- Yes, for medical reasons
- Yes, for cultural reasons
- Yes, for unknown reasons
<a name="#220">220. I currently have the following procedures, done on me voluntarily as an adult (check all that apply):<p>
- Circumcision
- Meatotomy
- Subincision
- Glans splitting
- Scrotal splitting
- Castration
- Urethral Reroute
- Penectomy
- Ear reshaping
- Split tongue
- Minor amputation (finger, toe)
- Major amputation (hand, arm, etc.)
- Nipple removal
- Genital beading
- Transdermal implants
- "3D Art" Implants
- Silicone injection
- Cosmetic surgery
- Corsetry
- Stretched scrotum
- Stretched labia
- Stretched nipples
- Anal stretching
- Trepanation
- Other heavy body modifications
<a name="#221">221. I would like to have (but do not currently have) the following procedures, done on me voluntarily as an adult (check all that apply):<p>
- Circumcision
- Meatotomy
- Subincision
- Glans splitting
- Scrotal splitting
- Castration
- Urethral Reroute
- Penectomy
- Ear reshaping
- Split tongue
- Minor amputation (finger, toe)
- Major amputation (hand, arm, etc.)
- Nipple removal
- Genital beading
- Transdermal implants
- "3D Art" Implants
- Silicone injection
- Cosmetic surgery
- Corsetry
- Stretched scrotum
- Stretched labia
- Stretched nipples
- Anal stretching
- Trepanation
- Other heavy body modifications
<a name="#222">222. My heavy mods were done by (check any that apply):<p>
- Myself
- Friend or Partner
- Piercer or Tattoo Artist
- Underground cutter
- Doctor ("off the record")
- Doctor (legally)
<a name="#223">223. The best time (for me) to get modified is:<p>
- Morning
- Afternoon
- Early evening
- Night time
- No difference
<a name="#224">224. The best day of the week (for me) to get modified is:<p>
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- No difference
<a name="#225">225. Have you ever received a body modification to celebrate an event? (Check all that apply)<p>
- Never
- Own birthday
- Other birthday
- Positive relationship (ie. wedding)
- Negative relationship (ie. divorce)
- Death
- Historical event
- Holiday
- Sports game
- Political Event
- Other current event
- Other
<a name="#226">226. When you get a new modification who do you normally go with?<p>
- Not applicable
- Alone
- A friend
- Partner
- A family member
- Multiple friends
<a name="#227">227. Do you tip your body modification artist?<p>
- Not applicable
- Sometimes
- Yes, a little (15% or less)
- Yes, a lot (Over 15%)
<a name="#228">228. Have you ever required medical care for a body piercing (check any that apply)?<p>
- Not applicable
- Never
- Self-administered (minor)
- Self-administered (major)
- First aid by Practitioner
- Doctor consultation (while there for something else)
- Doctor consultation (for the problem)
- Piercer visit
- Mental health visit
- Mental health stay
- Emergency/hospital visit (in and out)
- Emergency/hospital visit (day stay)
- Emergency/hospital visit (overnight)
- Emergency/hospital visit (lengthy staty)
- Surgery required
- Removal of mod required
- Temporary disability
- Permanent disability
<a name="#229">229. Have you ever required medical care for a tattoo (check any that apply)?<p>
- Not applicable
- Never
- Self-administered (minor)
- Self-administered (major)
- First aid by Practitioner
- Doctor consultation (while there for something else)
- Doctor consultation (for the problem)
- Piercer visit
- Mental health visit
- Mental health stay
- Emergency/hospital visit (in and out)
- Emergency/hospital visit (day stay)
- Emergency/hospital visit (overnight)
- Emergency/hospital visit (lengthy staty)
- Surgery required
- Temporary disability
- Permanent disability
<a name="#230">230. Have you ever required medical care for a scarification (check any that apply)?<p>
- Not applicable
- Never
- Self-administered (minor)
- Self-administered (major)
- First aid by Practitioner
- Doctor consultation (while there for something else)
- Doctor consultation (for the problem)
- Piercer visit
- Mental health visit
- Mental health stay
- Emergency/hospital visit (in and out)
- Emergency/hospital visit (day stay)
- Emergency/hospital visit (overnight)
- Emergency/hospital visit (lengthy staty)
- Surgery required
- Temporary disability
- Permanent disability
<a name="#231">231. Have you ever required medical care for a ritual or body play activity (check any that apply)?<p>
- Not applicable
- Never
- Self-administered (minor)
- Self-administered (major)
- First aid by Practitioner
- Doctor consultation (while there for something else)
- Doctor consultation (for the problem)
- Piercer visit
- Mental health visit
- Mental health stay
- Emergency/hospital visit (in and out)
- Emergency/hospital visit (day stay)
- Emergency/hospital visit (overnight)
- Emergency/hospital visit (lengthy staty)
- Surgery required
- Temporary disability
- Permanent disability
<a name="#232">232. Have you ever required medical care for a heavy mod (check any that apply)?<p>
- Not applicable
- Never
- Self-administered (minor)
- Self-administered (major)
- First aid by Practitioner
- Doctor consultation (while there for something else)
- Doctor consultation (for the problem)
- Piercer visit
- Mental health visit
- Mental health stay
- Emergency/hospital visit (in and out)
- Emergency/hospital visit (day stay)
- Emergency/hospital visit (overnight)
- Emergency/hospital visit (lengthy staty)
- Surgery required
- Removal of mod required
- Temporary disability
- Permanent disability
<a name="#233">233. What type of reaction of you have had from medical professionals regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#234">234. What type of reaction of you have had from mental health professionals regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#235">235. What type of reaction of you have had from dental professionals regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#236">236. What type of reaction of you have had from friends regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#237">237. What type of reaction of you have had from your family regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#238">238. What type of reaction of you have had from your employer regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#239">239. What type of reaction of you have had from school regarding your body modifications (select all that apply)?<p>
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
<a name="#240">240. Do you remove or cover your piercings before visiting the doctor/dentist?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#241">241. Do you remove or cover your piercings before visiting your family?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#242">242. Do you remove or cover your piercings before going to school?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#243">243. Do you remove or cover your piercings before going to work?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#244">244. Do you cover your tattoos before visiting the doctor/dentist?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#245">245. Do you cover your tattoos before visiting your family?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#246">246. Do you cover your tattoos before going to school?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#247">247. Do you cover your tattoos before going to work?<p>
- Not applicable
- Never
- Rarely
- Sometimes
- Always
<a name="#248">248. Do you feel that society in general is becoming more or tolerant of your body modifications?<p>
- Not applicable
- Much more tolerant
- More tolerant
- About the same
- Less tolerant
- Much less tolerant
<a name="#249">249. Do you feel that your family and friends are becoming more or tolerant of your body modifications?<p>
- Not applicable
- Much more tolerant
- More tolerant
- About the same
- Less tolerant
- Much less tolerant
<a name="#250">250. Are you a happier person due to your body modifications?<p>
- Not applicable
- Much more happy
- More happy
- About the same
- Less happy
- Much less happy
<a name="#251">251. Are your friends happier with you due to your body modifications?<p>
- Not applicable
- Much more happy
- More happy
- About the same
- Less happy
- Much less happy
<a name="#252">252. If you could get a better job by doing so, would you remove your body modifications?<p>
- Yes
- No
<a name="#253">253. Would you take a worse job if it meant keeping your body modifications?<p>
- Yes
- No
<a name="#254">254. Do you feel more confident due to your body modifications when in public?<p>
- Not applicable
- Much more confident
- More confident
- About the same
- Less confident
- Much less confident
<a name="#255">255. Do you feel more confident due to your body modifications on a private level?<p>
- Not applicable
- Much more confident
- More confident
- About the same
- Less confident
- Much less confident
<a name="#256">256. Do you feel more attractive due to your body modifications?<p>
- Not applicable
- Much more attractive
- More attractive
- About the same
- Less attractive
- Much less attractive
<a name="#257">257. Do you feel more "comfortable in your body" due to your body modifications?<p>
- Not applicable
- Much more comfortable
- More comfortable
- About the same
- Less comfortable
- Much less comfortable
<a name="#258">258. Have you ever felt "strange" or "off" when you've taken out a body modification temporarily?<p>
- Yes
- No
- Not applicable
<a name="#259">259. Have you ever felt "strange" or "off" when you've taken out a body modification permanently?<p>
- Yes
- No
- Not applicable
<a name="#260">260. Have your body modifications negatively impacted any of the following situations? (Check all that apply)<p>
- Work (Job interview)
- Work (quality)
- Work (Interactions with coworkers)
- Work (Interactions with employer)
- Work (Performance reviews)
- Work (raises)
- Work (Promotions)
- School (fellow students)
- School (teachers)
- School (grades)
- Family (parents)
- Family (siblings)
- Family (extended family)
- Friends (close)
- Friends (social)
- Authority figures (police, judges, etc.)
- Retail sales staff
- Restaurant service
- Dating
- Marriage
<a name="#261">261. Have your body modifications positively impacted any of the following situations? (Check all that apply)<p>
- Work (Job interview)
- Work (quality)
- Work (Interactions with coworkers)
- Work (Interactions with employer)
- Work (Performance reviews)
- Work (raises)
- Work (Promotions)
- School (fellow students)
- School (teachers)
- School (grades)
- Family (parents)
- Family (siblings)
- Family (extended family)
- Friends (close)
- Friends (social)
- Authority figures (police, judges, etc.)
- Retail sales staff
- Restaurant service
- Dating
- Marriage
<a name="#262">262. Have any of the following been supportive of your body modifications? (Check all that apply)<p>
- Mother
- Father
- Siblings
- Extended Family
- Coworkers
- Employer
- Fellow students
- Teachers
- General public
- Friends
- Partner
<a name="#263">263. Have any of the following been negatively judgemental of your body modifications? (Check all that apply)<p>
- Mother
- Father
- Siblings
- Extended Family
- Coworkers
- Employer
- Fellow students
- Teachers
- General public
- Friends
- Partner
<a name="#264">264. Do you have more or less body modifications that your peer group, on average?<p>
- Much more
- More
- About the same
- Less
- Much less
<a name="#265">265. How would you describe your hairstyle in relation to society in general?<p>
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
<a name="#266">266. How would you describe your hairstyle in relation to your peer group?<p>
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
<a name="#267">267. How would you describe your style of dress in relation to society in general?<p>
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
<a name="#268">268. How would you describe your style of dress in relation to your peer group?<p>
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
<a name="#269">269. Which of the following statements are currently true about your appearance (check all that apply):<p>
- My hair is dyed
- My hair is dyed an "unnatural" color
- My pubic hair is dyed
- My pubic hair is shaved
- I wear colored contact lenses
- I wear big pants
- I wear a lot of bracelets
- I wear a dog collar
- I wear mostly black
- I make my own clothes
- I wear shirts with offensive or edgey slogans
- I am out of sync with fashion
<a name="#270">270. Which of the following statements were once true but are no longer true about your appearance (check all that apply):<p>
- My hair is dyed
- My hair is dyed an "unnatural" color
- My pubic hair is dyed
- My pubic hair is shaved
- I wear colored contact lenses
- I wear big pants
- I wear a lot of bracelets
- I wear a dog collar
- I wear mostly black
- I make my own clothes
- I wear shirts with offensive or edgey slogans
- I am out of sync with fashion
<a name="#271">271. Which of the following activities have you taken part in ever (check all that apply):<p>
- Play piercing, arms/legs
- Play piercing, face
- Play piercing, body
- Play piercing, genital/nipple
- Light CBT
- Heavy CBT
- Vacuum pumping
- Saline injection
- Suicide (back) suspension
- Chest suspension
- Superman (face down) suspension
- Coma (face up) suspension
- Knee Suspension
- Other suspension
- Pulling (back or chest)
- Pulling (other)
- Lip sewing
- Fire walking
- Meditation
- Bed of Nails
- Trance Dancing
- Sweat Lodge
- Tantric Sex
- Shamanic Drug Use
- Fasting
- Other ritual acts
<a name="#272">272. Which of the following activities have you taken part in within the last year (check all that apply):<p>
- Play piercing, arms/legs
- Play piercing, face
- Play piercing, body
- Play piercing, genital/nipple
- Light CBT
- Heavy CBT
- Vacuum pumping
- Saline injection
- Suicide (back) suspension
- Chest suspension
- Superman (face down) suspension
- Coma (face up) suspension
- Knee Suspension
- Other suspension
- Pulling (back or chest)
- Pulling (other)
- Lip sewing
- Fire walking
- Meditation
- Bed of Nails
- Trance Dancing
- Sweat Lodge
- Tantric Sex
- Shamanic Drug Use
- Fasting
- Other ritual acts
<a name="#273">273. Which of the following activities would you like to take part in in the future (check all that apply):<p>
- Play piercing, arms/legs
- Play piercing, face
- Play piercing, body
- Play piercing, genital/nipple
- Light CBT
- Heavy CBT
- Vacuum pumping
- Saline injection
- Suicide (back) suspension
- Chest suspension
- Superman (face down) suspension
- Coma (face up) suspension
- Knee Suspension
- Other suspension
- Pulling (back or chest)
- Pulling (other)
- Lip sewing
- Fire walking
- Meditation
- Bed of Nails
- Trance Dancing
- Sweat Lodge
- Tantric Sex
- Shamanic Drug Use
- Fasting
- Other ritual acts
<a name="#274">274. Are you a member of any organized suspension groups?<p>
- No
- No, but I was in the past
- No, but I hope to be
- Yes, but only peripherally
- Yes
- Yes, very actively
<a name="#275">275. To what degree does the pain in body modification affect the procedure?<p>
- Very positively
- Positively
- Irrelevant
- Negatively
- Very negatively
<a name="#276">276. During a body modification procedure, would you rather have...<p>
- More pain
- Current amount of pain
- Less pain
- No pain
<a name="#277">277. During a ritual body play act, would you rather have...<p>
- Much more
- More pain
- Current amount of pain
- Less pain
- No pain
<a name="#278">278. Are you a member of any religious groups that are involved in body modification?<p>
- No
- No, but I was in the past
- No, but I hope to be
- Yes
- Yes, very actively
<a name="#279">279. How important is religion or spirituality in your life?<p>
- Not at all
- Not very much
- Medium
- A fair amount
- Extremely important
<a name="#280">280. How important are morality and ethics in your life?<p>
- Not at all
- Not very much
- Medium
- A fair amount
- Extremely important
<a name="#281">281. What is your religion?<p>
- None
- Undecided
- Agnostic
- Asatru/Heathen
- Atheist
- Baha'i
- Buddhist
- Christian (practisting)
- Christian (non-practising)
- Christian (born again or evangelical)
- Confucianist
- Druid
- Falon Gong
- Goddess Worship
- "Goth"
- Gnostic
- Hare Krishna
- Hindu
- Humanist
- Jain
- Jewish
- Muslim
- Native American Spirituality
- Neo-Pagan
- New Age
- Objectivist
- Scientologist
- Shinto
- Sikh
- Taoist
- Unitarian-Universalist
- Voodoo
- Wiccan
- Witch
- Other
