Body Dysmorphic Disorder (BDD)
BDD
From the 1 July 2023 the medical board of Australia (AHPRA) have introduced mandatory requirements for all patients considering cosmetic surgery to undertake a screening questionnaire for Body Dysmorphic Disorder.
First Name
Last Name
Email
Phone/Mobile
DOB
Q1. How often would you say that you intentionally check your features? – this does not refer to you unintentionally catching site of your feature. This would also include using mirrors and other reflecting devices such as a window, to view your features.
Approximately 40 times or greater per day
Approximately 20 times or greater per day
Approximately 10 times or greater per day
Approximately 5 times or greater per day
Never Check
Q2. To what degree do you feel that your features(s) are unsightly, unattractive or not quite right?
Very unattractive or not quite right
Noticeably unattractive
Somewhat unattractive
Marginally unattractive
Not at all unattractive
Q3. To what degree does your feature(s) presently bring about distress?
Not at all distressing
A bit distressing
Somewhat distressing
Noticeably distressing
Immensely distressing
Q4. How often does your feature(s) presently cause you to avoid activities or situations?
Always avoid
Avoid about three quarters of the time
Avoid about half of the time
Avoid about one third of the time
Never avoid
Q5. To what degree does your feature(s) presently concern you?
Not at all concerned
Somewhat concerned
Noticeably concerned
Very concerned
Extremely concerned
Q6. If you have a partner, to what degree does your feature(s) presently have an effect on your relationship? (e.g. fond feelings, number of disagreements, enjoying time together). If you do not have a partner, to what degree does your feature(s) presently have an impact on engaging in dating and/or maturing a relationship?
Not at all
Marginally
Somewhat
Noticeably
Immensely
Q7. To what degree does your feature(s) presently stand in the way of your capacity to work or study, or your role as a homemaker? (Please tick one of the boxes below, even if you are not working or studying).
Not at all
Marginally
Somewhat
Noticeably
Immensely: I can't work or study
Q8. To what degree does your feature(s) currently impact your social life? (this includes other people e.g. clubs, parties, social events, entertainment, outings).
Not at all
Marginally
Somewhat
Noticeably
Immensely
Score
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