BME Megasurvey Reference Page
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General Demographic Information
Education and Employment
Family and Home Life
General Health, Diet, and Body Image
Sexual behavior
Substance Use and Risky Behavior
BME, online use, and events
Politics and Views
Body Modification (1)
Body Modification (2)
Body Modification (3)
Ritual and Body Play Experience
1. Age
2. Gender
- 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
3. Sexual Orientation
- Male
- Female
- Transgender M2F (in progress)
- Transgender M2F (done)
- Transgender F2M (in progress)
- Transgender F2M (done)
- Eunuch (castrated)
- Eunuch (penectomized)
4. Race (check all that apply that you currently "identify with")
- Heterosexual
- Bisexual (primarily heterosexual)
- Bisexual
- Bisexual (primarily gay/lesbian)
- Gay/Lesbian
- Asexual
5. Country of birth
- Caucasian
- Hispanic or Latino
- Asian or Pacific Islander
- African descent
- Native American
- Middle Eastern
- Other
- Prefer not to say
6. 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
7. If you are a resident of the US or Canada, what state/province do you currently live in?
- 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
8. What type of home were you raised in (choose all that apply)?
- 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
9. What type of home do you currently live in?
- 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
10. Do you (or who you live with) own or rent?
- Apartment (5 stories or less)
- Apartment (over 5 stories)
- Condominium
- House (attached)
- House (detached)
- Trailer or mobile home
- Military base
- Homeless
- Other
11. How would you characterize the area you live in?
- Not applicable
- Rent
- Own (paying off mortgage)
- Own (clear)
12. How many languages do you speak or read fluently?
- 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)
13. Which of the following languages can you speak fluently?
- One
- Two
- Three
- Four
- Five or more
14. How would you describe your intelligence in relation to the average person?
- 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
15. Are you currently a student?
- 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
16. What is the highest level of education you have completed?
- No
- Yes (part time)
- Yes (full time)
17. Are you currently employed?
- 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
18. Are you currently employed in your "chosen career" (ie. do you like your job)?
- No
- Yes, part-time
- Yes, full-time
- Partially self-employed
- Fully self-employed
19. What field is your current job in?
- 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)
20. 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
21. How would you rate your financial situation in comparison to your peers?
- 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
22. 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
23. What is your annual salary (in US dollars)?
- Much better off
- Better off
- About the same
- Worse off
- Much worse off
24. 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
- Not working
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
25. 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
- over $300k
26. 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
- $300k - $750k
- over $750k
27. Have you ever received any of the following?
- Prefer not to say
- 0 - $5k
- $5k - $10k
- $10k - $20k
- $20k - $35k
- $35k - $50k
- $50k - $75k
- $75k - $100k
- $100k - $150k
- $150k - $300k
- over $300k
28. 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
29. When you make routine purchases (food, gas, etc.), you most commonly pay with:
- Unemployment Insurance
- Disability
- Student financial aid
- Food stamps, etc.
- Welfare
- Medical Insurance (including socialized healthcare)
- Other government assistance
30. When you make larger purchases (computers, stereos, etc.), you most commonly pay with:
- Cash
- Check
- Check or Debit Card (bank card)
- Credit card
31. Compared with your financial situation a year ago, are you now...
- Cash
- Check
- Check or Debit Card (bank card)
- Credit card
32. Which of the following insurance(s), if any, do you have?
- Much worse off
- A little worse off
- About the same
- A little better off
- Much better off
33. Who raised you (check all that apply)?
- Medical (including socialized healthcare)
- Mental health (including socialized healthcare)
- Prescription drug
- Dental
- Eyes
- Car
- Homeowner/renter
- Business
- Other
34. Who do you feel closest to?
- 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.)
35. Which of the following types of siblings do you have (check all that apply or none)?
- Mother
- Father
- Both
- Neither
36. Who do you currently live with (check all that apply or none if you live alone)?
- Older brother(s)
- Older sister(s)
- Twin brother
- Twin sister
- Younger brother(s)
- Younger sister(s)
- Adopted siblings
- Step-siblings
37. Do you have any children?
- Mother
- Father
- Siblings
- Children
- Other relatives
- Friend(s)
- Partner
- Unrelated group (ie. dorms, etc.)
38. What is the highest education level of your mother?
- No
- Unknown/maybe
- Currently pregnant (or partner is)
- One child
- More than one child
39. 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
40. What is the annual salary of your mother (in US dollars)?
- 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
41. 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
42. What field does your mother work in?
- 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
43. 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
44. How would you characterize your childhood?
- 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
45. Were you a victim of any childhood abuse? (check all that apply, if any)
- Extremely happy
- Happy
- Average
- Unhappy
- Extremely unhappy
46. What is the marital status of your parents (or step parents if you consider them your primary parents)?
- 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
47. Which of the following events do you remember as being significant in your youth (check any that apply)?
- Not applicable or Unknown
- Never married, but still together
- Married
- Separated
- Divorced
- Widowed
48. How would you rank your personal physical health in general (ie. how often you get sick, how your body feels, etc.)?
- 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
49. How would you describe your level of physical fitness and cardiovascular health?
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
- Terminally ill
50. How would you describe your weight?
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
51. Which of the following best describes your diet?
- Extremely overweight
- Overweight
- "Normal" Weight
- Underweight
- Extremely underweight
52. On the average day, which of the following do you eat?
- Meat-heavy
- Balanced including meat
- Minimal meat
- Vegetarian
- Full vegan
53. How healthy would you consider your diet?
- Breakfast
- Morning snack
- Lunch
- Afternoon snack
- Dinner/supper
- Late-night snack
54. How often do you get active physical exercise?
- Extremely healthy
- Relatively healthy
- Average
- Relatively unhealthy
- Extremely unhealthy
55. How do you exercise or stay fit? (check all that apply)
- Daily
- Every couple days
- About once a week
- About once a month
- Rarely
- Never
56. Do you have any of the following? (check off any 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
57. How would you describe your mental health?
- High blood pressure
- High cholesterol
- TMJ disorder
- Heart problems
- Limited Vision
- Limited Hearing
- Digestive disorders
- Skin disorders
- Cancer
- Lung problems
- Other physical problem
58. Do you have any of the following? (check off any that apply)
- Excellent
- Better than average
- Average
- Worse than average
- Very poor
59. Are you currently prescribed any mental health medication?
- 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
60. Have you ever been prescribed any mental health medication?
- No
- Yes
61. Are you currently undergoing psychotherapy or seeing a doctor on a regular basis regarding mental health issues?
- No
- Yes
62. Have you ever undergone psychotherapy or seen a doctor on a regular basis regarding mental health issues?
- No
- Yes
63. How many times have you attempted suicide?
- No
- Yes
64. Are you a self-cutter (ie. do you cut yourself to relieve emotional stress)?
- Never
- Never, but I have contemplated it
- Once
- More than once
- A lot
65. How many hours do you sleep a night on average?
- No, never
- No (but I was in the past)
- Yes
66. Do you feel that you are getting enough sleep?
- 0 - 2
- 2 - 4
- 4 - 5
- 5 - 6
- 6 - 7
- 7 - 8
- 8 - 9
- 10 - 12
- more than 12
67. Do you suffer from any of the following sleep disorders? (check any that apply)
- Yes, too much sleep
- Just right
- No, too little sleep
68. Which of the following statements are true (check all that apply):
- Trouble falling asleep
- Abnormally light sleeper
- Abnormally heavy sleeper
- Require sleeping pills
- Persistent Nightmares
- Night terrors
- Sleepwalking
69. How would you rate your face in your opinion?
- 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
70. How would most strangers rate your face in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
71. How would your rate your body in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
72. How would most strangers rate your body in your opinion?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
73. How often do you masturbate?
- Highly attractive
- Attractive
- Average
- Unattractive
- Extremely unattractive
74. Which of the following best describes your sex drive?
- 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
75. Do you enjoy traditional pornography?
- Asexual
- Not very sexual
- About average sexually
- More sexual than average
- Extremely sexual
76. Do you enjoy BME/HARD-style pornography?
- No
- Not much
- A little
- A lot
- Yes, obsessively
77. How old were you when you lost your oral virginity?
- No
- Not much
- A little
- A lot
- Yes, obsessively
78. Was losing your oral virginity voluntary?
- 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
79. How old were you when you lost your vaginal virginity?
- 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
80. Was losing your vaginal virginity voluntary?
- 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
81. How old were you when you lost your anal virginity?
- 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
82. Was losing your anal virginity voluntary?
- 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
83. How many sexual partners of the opposite sex have you had in the last 12 months?
- 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
84. 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
- over 16
85. 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
- 17 - 25
- 26 - 50
- 51 - 100
- 101 - 200
- 201 - 500
- over 500
86. 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
- over 16
87. Have you ever engaged in beastialty (ie. sex with an animal)?
- Zero
- 1
- 2
- 3
- 4 - 5
- 6 - 8
- 9 - 12
- 13 - 16
- 17 - 25
- 26 - 50
- 51 - 100
- 101 - 200
- 201 - 500
- over 500
88. What is the largest number of people you have had sex with at once?
- Never have, never will
- Never have, would like to
- Yes, once
- Yes, multiple times
- Yes, still do
89. Have you ever paid for sex (cash, drugs, etc.)?
- Not applicable
- One
- Two
- Three
- Four
- Five or more
90. Have you ever been paid for sex (cash, drugs, etc.)?
- Never
- Once
- A few times
- Regularly
91. Which of the following have you tried in a sexual context? (check all that apply)
- Never
- Once
- A few times
- Regularly
92. Which of the following would you like to try in a sexual context? (check all that apply)
- 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
93. Have you ever been raped?
- 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
94. Do you use sexual protection devices (ie. condoms, the pill, etc.)?
- Never
- Maybe, but I'm not sure if it was rape
- Yes
- Yes, multiple times
95. Which of the following STDs are you currently suffering from or have suffered from in the past, that you know of?
- 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
96. Do you inform your partners of your STDs?
- 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
97. How would you rate your sexual performance from your partner's point of view?
- Not applicable
- Yes, but I have none
- Yes, always
- Sometimes
- Never
98. How much do you enjoy sexual contact with others?
- Not applicable
- Extremely good
- Good
- Average
- Not every good
- Extremely poor
99. What role have your body modifications played in your sex life (mentally; ie. how you feel about yourself erotically)?
- Not applicable
- Extremely enjoyable
- Good
- Average
- Don't enjoy
- Strongly dislike
100. What role have your body modifications played in your sex life (physically; ie. does it make it feel better)?
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
101. What role have your partner's body modifications played in your sex life (mentally; ie. does it make them more attractive)?
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
102. What role have your partner's body modifications played in your sex life (physically; ie. does it make it feel better)?
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
103. I am attracted primarily to (check any that apply):
- Not applicable
- Massive improvement
- Minor improvement
- No change
- Minor detraction
- Major detraction
104. Have you ever tried any of the following? (check all that apply)
- 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
105. Are you straightedge (ie. no drinking, drugs, etc.)?
- Caffeine
- Alcohol
- Tobacco
- Marijuana
- LSD/shrooms
- Ecstasy
- Other psychedelic drugs
- Poppers
- Cocaine
- Heroin
- Crack
- Crystal Meth
- Other illegal drug
106. How often do you use caffeine (ie. coffee, tea, Bawls, etc.)?
- No
- Yes, but not by name
- Yes
- Yes, "militant"
107. How often do you use alcohol (ie. beer, wine, martinis, etc.)?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
108. How often do you use tobacco (ie. cigarettes, cigars, etc.)?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
109. How often do you use marijuana?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
110. How often do you use LSD or shrooms?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
111. How often do you use Ecstasy?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
112. How often do you use other psychedelic drugs (ie. GHB, MDA, etc.)?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
113. How often do you use poppers?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
114. How often do you use cocaine?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
115. How often do you use heroin?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
116. How often do you use crack?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
117. How often do you use crystal meth?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
118. How often do you use other illegal drugs?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
119. How would you describe the impact of substance use on your life?
- Never
- Occasionally
- Frequently (socially)
- Frequently (privately)
- Regularly, addicted
120. Have you ever committed any of the following (even if you weren't caught)? (check all that apply)
- Not applicable
- Extremely positive
- Mildly positive
- No effect
- Mildly damaging
- Extremely damaging
121. How would you describe your driving (check all that apply)?
- 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
122. How would you rate your truthfulness in general?
- Don't drive
- Very safe
- Reckless
- Habitual speeder
- Poor driver
- Average
123. Which of the following activities have you taken part in? (check all that apply)
- Habitual liar
- Mild liar
- Average
- Overly truthful
- Obsessively truthful
124. Do you own any weapons? (check all that apply)
- 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
125. How often do you visit BME (as in the main site)?
- Knives
- Swords
- Nunchuks/Martial arts weapons
- Rifles
- Shotguns
- Handguns
- Automatic guns
- Bows or crossbows
- Other weaponry
126. How long have you been reading BME?
- Rarely or never
- Monthly
- Weekly
- Every few days
- Daily
127. What is the highest level of membership you currently have to BME?
- Less than a month
- 1 - 6 months
- 7 - 12 months
- 12 - 24 months
- 2 - 4 years
- More than 5 years
128. What is the highest level of membership you have ever had to BME?
- No membership
- Extreme2, free
- Extreme2, paid
- Full, free
- Full, paid
129. How long have you been a member of IAM?
- No membership ever
- Extreme2, free
- Extreme2, paid
- Full, free
- Full, paid
130. Is IAM your primary homepage or online journal?
- Less than a month
- 1 - 3 months
- 4 - 6 months
- 7 - 12 months
- Between 1 and 2 years
- Over 2 years
131. Have you ever attended an IAM or BME meet in person?
- 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
132. What percentage of your immediate peer groupd (ie. your friends) also have IAM pages?
- No
- No, but I want to
- Yes
- Yes, many times
133. Have you ever "hooked up" with someone from BME (via IAM, the personals, or writing them) as a friend?
- Zero
- Less than 10%
- 10% - 25%
- 25% - 50%
- 50% - 75%
- Almost all
- All of them
134. Have you ever "hooked up" with someone from BME (via IAM, the personals, or writing them) as a sexual partner?
- Never
- No, but that would be great
- Yes, once (briefly)
- Yes, once (long-term)
- Yes, multiple times
135. Have you ever emailed or otherwise contacted someone from BME because of their body modifications?
- Never
- No, but that would be great
- Yes, once (briefly)
- Yes, once (long-term)
- Yes, multiple times
136. Have you ever attended a tattoo convention?
- Never
- Yes
- Yes, multiple times
137. Have you ever attended a sideshow event (ie. Jim Rose, The Lizardman, Puzzilion, etc.)?
- No
- No, but I want to
- Yes
- Yes, more than once
138. Have you ever attended a fetish party or public BDSM event?
- No
- No, but I want to
- Yes
- Yes, more than once
139. Have you ever attended a cutter party (ie. castration party, ModCon, etc.)?
- No
- No, but I want to
- Yes
- Yes, more than once
140. Have you ever attended a private BDSM party or play party?
- No
- No, but I want to
- Yes
- Yes, more than once
141. How often do you visit IAM?
- No
- No, but I want to
- Yes
- Yes, more than once
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?
- Rarely or never
- Montly
- Weekly
- Every few days
- Daily
- Several times daily
- Any time I'm online, I'm on IAM
143. How much money have you spent at BMEshop in US dollars?
- 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
144. Do you visit any other body modification sites?
- 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
145. Do you have a paid membership to any other online sites (ie. porn sites, news sites, etc.)?
- Never
- Rarely
- Monthly
- Weekly
- Every few days
- Daily
146. "Hand guns should be legally available to all adults."
- Yes, several
- Yes
- No
- Not any more
147. "Marijuana should be legal."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
148. "It is the government's responsibility to make sure that everyone has adequate health insurance."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
149. "It's important to support your country, right or wrong."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
150. "Body piercing shouldn't be permitted at school."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
151. "My race is superior to other races."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
152. "I'm proud of my race."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
153. "Rich people should pay more taxes than poor people."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
154. "Free markets equal free people."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
155. "Abortion should be legal."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
156. "Taxes should go to supporting the arts, museums, and so on (among other things)."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
157. "War is murder / War is ignorance"
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
158. "Pornography of all kinds (as long as it's not directly hurting someone) should be legal for adults."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
159. "Same sex couples should be allowed to marry and adopt children."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
160. "Homosexuality is normal and should be supported in young people."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
161. "Society would be a lot better off if people started going to church more often."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
162. "A mother's place is in the home."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
163. "If political leaders betray their country, it is the population's duty to revolt."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
164. "I support environmental causes."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
165. "The death penalty is appropriate for some crimes."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
166. "I am worried about government powers of surveillance."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
167. "I trust my government."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
168. "There should be limits to free speech (ie. racism, child porn, etc.)"
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
169. "I am a libertarian."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
170. "I have conservative politics and views."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
171. "It is important for people to do volunteer service in their community"
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
172. "I volunteer regularly."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
173. "I support euthanasia and someone's right to die."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
174. "Prostitution should be legal."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
175. "The world would be a better place if everyone was just content to look alike."
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
176. Is it acceptable for a person to get body modifications that their partner does not like?
- Strongly agree
- Agree somewhat
- Ambivalent/Not sure
- Disagree somewhat
- Strongly disagree
177. What is the youngest someone should legally be permitted to get a non-face tattoo?
- Yes
- Yes, but only if it won't damage the relationship
- No
178. What is the youngest someone should legally be permitted to tattoo their face at?
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- 30
- Never
179. What is the youngest someone should legally be permitted to get an ear piercing?
- Any age
- 16
- 18
- 19
- 21
- 25
- 30
- Never
180. What is the youngest someone should legally be permitted to get a non-ear facial piercing?
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
181. What is the youngest someone should legally be permitted to get a navel piercing?
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
182. What is the youngest someone should legally be permitted to get a nipple piercing?
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- Never
183. What is the youngest someone should legally be permitted to get a genital piercing?
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- Never
184. What is the youngest someone should legally be permitted to do a flesh-hook suspension?
- Any age
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- Never
185. To what extent do politics (ie. cultural revolution, etc.) play a role in your body modifications?
- Any age
- 5
- 10
- 13
- 14
- 15
- 16
- 18
- 19
- 21
- 25
- 30
- Never
186. Are you more likely to get modifications during times of social or political stress (ie. war, recession, etc.)?
- Not at all
- Minimally
- A bit
- A lot
- Primary importance
187. Are you more likely to engage in ritual (play piercing, suspension, etc.) during times of social or political stress?
- Much more likely
- More likely
- No change
- Less likely
- Much less likely
188. I currently have the following piercings (check all that apply):
- Much more likely
- More likely
- No change
- Less likely
- Much less likely
189. I once had but no longer have the following piercings (check all that apply):
- 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)
190. I plan to but do not currently have the following piercings (check all that apply):
- 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)
191. I got my first piercing at age:
- 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)
192. I got my first non-earlobe piercing (ie. septum, lip, nipples, navel, etc.) at age:
- 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
193. I got my first body or genital piercing at age:
- 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
194. How much money (in US dollars) have you spent on piercings including the cost of piercings and jewelry?
- 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
195. The following people did my piercings (check all that apply):
- Zero
- Under $50
- $50 to $100
- $100.01 to $200
- $200.01 to $350
- $350.01 to $500
- $500.01 to $1000
- Over $1000
196. How happy are you with how your piercings turned out?
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional piercer
- Mall piercer
- Doctor or medical professional
- Other
197. The following statements are true about my piercings (check all that apply):
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
198. Have you ever had any of the following complications? (Check any that apply)
- 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
199. Have you ever removed any piercings for the following complications? (Check any reasons that apply)
- 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
200. How would you describe your relationship with your body piercer?
- 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
201. I currently have tattoos on the following locations (check all that apply):
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
202. I plan on having more tattoos on the following locations (ie. that I don't currently have) (check all that apply):
- 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
203. Have you ever had tattoos removed?
- 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
204. Have you ever had tattoos covered up by other tattoos?
- Not applicable
- Never
- One
- Several
- Many
205. I got my first tattoo at age:
- Not applicable
- Never
- One
- Several
- Many
206. How much money (in US dollars) have you spent on tattoos?
- 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
207. The following people did my tattoos (check all that apply):
- 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
208. The following people designed my tattoos (check all that apply):
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional artist
- Fellow Prisoner
- Other
209. How happy are you with how your tattoos turned out?
- Me
- Sibling
- Parent
- Other relative
- Friend
- Flash (wall)
- Found art (exact)
- Found art (based on)
- Professional artist
- Fellow Prisoner
- Other
210. How would you describe your relationship with your tattoo artist?
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
211. What styles of tattoos do you have (check all that apply):
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
212. I have voluntary scarifications in the following locations (check all that apply):
- 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
213. How much money (in US dollars) have you spent on scarification?
- Facial
- Chin
- Scalp
- Neck
- Upper arm or shoulder
- Lower arm
- Hand
- Torso, upper
- Torso, lower
- Pubic
- Genital
- Ass
- Upper leg
- Lower leg
- Foot
214. I plan on having voluntary scarifications in the following locations (check all that apply):
- Zero
- Under $50
- $50 to $100
- $100.01 to $200
- $200.01 to $350
- $350.01 to $500
- $500.01 to $1000
- Over $1000
215. I got my first voluntary scarification at age:
- Facial
- Chin
- Scalp
- Neck
- Upper arm or shoulder
- Lower arm
- Hand
- Torso, upper
- Torso, lower
- Pubic
- Genital
- Ass
- Upper leg
- Lower leg
- Foot
216. The following people did my scarifications (check all that apply):
- 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
217. How happy are you with how your scarifications turned out?
- Me
- Sibling
- Parent
- Other relative
- Friend
- Professional piercer
- Professional tattoo artist
- Scarification artist (that was not also a piercer or tattooist)
- Fraternity brother
- Other
218. How would you describe your relationship with your scarification artist?
- Not applicable
- Extremely happy
- Happy
- Ambivalent/Unconcerned
- Unhappy
- Extremely unhappy
219. Were you circumcised as a baby or youth?
- Not applicable
- Strictly client/customer
- Casual friends
- Close Friends
- Basically family
220. I currently have the following procedures, done on me voluntarily as an adult (check all that apply):
- Not applicable
- Not circumcised
- Yes, for medical reasons
- Yes, for cultural reasons
- Yes, for unknown reasons
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):
- 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
222. My heavy mods were done by (check any that apply):
- 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
223. The best time (for me) to get modified is:
- Myself
- Friend or Partner
- Piercer or Tattoo Artist
- Underground cutter
- Doctor ("off the record")
- Doctor (legally)
224. The best day of the week (for me) to get modified is:
- Morning
- Afternoon
- Early evening
- Night time
- No difference
225. Have you ever received a body modification to celebrate an event? (Check all that apply)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- No difference
226. When you get a new modification who do you normally go with?
- 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
227. Do you tip your body modification artist?
- Not applicable
- Alone
- A friend
- Partner
- A family member
- Multiple friends
228. Have you ever required medical care for a body piercing (check any that apply)?
- Not applicable
- Sometimes
- Yes, a little (15% or less)
- Yes, a lot (Over 15%)
229. Have you ever required medical care for a tattoo (check any that apply)?
- 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
230. Have you ever required medical care for a scarification (check any that apply)?
- 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
231. Have you ever required medical care for a ritual or body play activity (check any that apply)?
- 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
232. Have you ever required medical care for a heavy mod (check any that apply)?
- 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
233. What type of reaction of you have had from medical professionals regarding your body modifications (select all that apply)?
- 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
234. What type of reaction of you have had from mental health professionals regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
235. What type of reaction of you have had from dental professionals regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
236. What type of reaction of you have had from friends regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
237. What type of reaction of you have had from your family regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
238. What type of reaction of you have had from your employer regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
239. What type of reaction of you have had from school regarding your body modifications (select all that apply)?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
240. Do you remove or cover your piercings before visiting the doctor/dentist?
- Not applicable
- None
- Extremely negative
- Negative
- Ambivalent/Unconcerned
- Positive
- Extremely positive
241. Do you remove or cover your piercings before visiting your family?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
242. Do you remove or cover your piercings before going to school?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
243. Do you remove or cover your piercings before going to work?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
244. Do you cover your tattoos before visiting the doctor/dentist?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
245. Do you cover your tattoos before visiting your family?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
246. Do you cover your tattoos before going to school?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
247. Do you cover your tattoos before going to work?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
248. Do you feel that society in general is becoming more or tolerant of your body modifications?
- Not applicable
- Never
- Rarely
- Sometimes
- Always
249. Do you feel that your family and friends are becoming more or tolerant of your body modifications?
- Not applicable
- Much more tolerant
- More tolerant
- About the same
- Less tolerant
- Much less tolerant
250. Are you a happier person due to your body modifications?
- Not applicable
- Much more tolerant
- More tolerant
- About the same
- Less tolerant
- Much less tolerant
251. Are your friends happier with you due to your body modifications?
- Not applicable
- Much more happy
- More happy
- About the same
- Less happy
- Much less happy
252. If you could get a better job by doing so, would you remove your body modifications?
- Not applicable
- Much more happy
- More happy
- About the same
- Less happy
- Much less happy
253. Would you take a worse job if it meant keeping your body modifications?
- Yes
- No
254. Do you feel more confident due to your body modifications when in public?
- Yes
- No
255. Do you feel more confident due to your body modifications on a private level?
- Not applicable
- Much more confident
- More confident
- About the same
- Less confident
- Much less confident
256. Do you feel more attractive due to your body modifications?
- Not applicable
- Much more confident
- More confident
- About the same
- Less confident
- Much less confident
257. Do you feel more "comfortable in your body" due to your body modifications?
- Not applicable
- Much more attractive
- More attractive
- About the same
- Less attractive
- Much less attractive
258. Have you ever felt "strange" or "off" when you've taken out a body modification temporarily?
- Not applicable
- Much more comfortable
- More comfortable
- About the same
- Less comfortable
- Much less comfortable
259. Have you ever felt "strange" or "off" when you've taken out a body modification permanently?
- Yes
- No
- Not applicable
260. Have your body modifications negatively impacted any of the following situations? (Check all that apply)
- Yes
- No
- Not applicable
261. Have your body modifications positively impacted any of the following situations? (Check all that apply)
- 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
262. Have any of the following been supportive of your body modifications? (Check all that apply)
- 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
263. Have any of the following been negatively judgemental of your body modifications? (Check all that apply)
- Mother
- Father
- Siblings
- Extended Family
- Coworkers
- Employer
- Fellow students
- Teachers
- General public
- Friends
- Partner
264. Do you have more or less body modifications that your peer group, on average?
- Mother
- Father
- Siblings
- Extended Family
- Coworkers
- Employer
- Fellow students
- Teachers
- General public
- Friends
- Partner
265. How would you describe your hairstyle in relation to society in general?
- Much more
- More
- About the same
- Less
- Much less
266. How would you describe your hairstyle in relation to your peer group?
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
267. How would you describe your style of dress in relation to society in general?
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
268. How would you describe your style of dress in relation to your peer group?
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
269. Which of the following statements are currently true about your appearance (check all that apply):
- Very conservative
- Conservative
- Normal
- A little radical
- Pretty extreme
270. Which of the following statements were once true but are no longer true about your appearance (check all that apply):
- 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
271. Which of the following activities have you taken part in ever (check all that apply):
- 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
272. Which of the following activities have you taken part in within the last year (check all that apply):
- 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
273. Which of the following activities would you like to take part in in the future (check all that apply):
- 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
274. Are you a member of any organized suspension groups?
- 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
275. To what degree does the pain in body modification affect the procedure?
- No
- No, but I was in the past
- No, but I hope to be
- Yes, but only peripherally
- Yes
- Yes, very actively
276. During a body modification procedure, would you rather have...
- Very positively
- Positively
- Irrelevant
- Negatively
- Very negatively
277. During a ritual body play act, would you rather have...
- More pain
- Current amount of pain
- Less pain
- No pain
278. Are you a member of any religious groups that are involved in body modification?
- Much more
- More pain
- Current amount of pain
- Less pain
- No pain
279. How important is religion or spirituality in your life?
- No
- No, but I was in the past
- No, but I hope to be
- Yes
- Yes, very actively
280. How important are morality and ethics in your life?
- Not at all
- Not very much
- Medium
- A fair amount
- Extremely important
281. What is your religion?
- Not at all
- Not very much
- Medium
- A fair amount
- Extremely important
- 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
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