Gender Dysphoria Test

1. Wearing clothes associated with my assigned sex makes me feel uncomfortable or distressed.

2. Being referred to with pronouns that match my sex assigned at birth feels wrong or distressing to me.

3. I have withdrawn socially because of distress about my gender or body.

4. I avoid situations (social, medical, romantic, or public) because I fear my body or gender will be noticed or judged.

5. When I experience gender-related discomfort, it is not limited to one specific situation or event.

6. I feel discomfort when others treat me according to gendered expectations linked to my assigned sex.

7. I experience distress because I feel I must act a certain way to meet gender expectations.

8. I have trouble concentrating at work/school because of distress related to gender or my body.

9. I find it emotionally painful to be seen socially as the gender others assume I am.

10. The discomfort I feel about my gender or body has been persistent over time.

11. I feel distress when I think about my body being categorized as male or female.

12. Puberty-related changes (past or present) have been a major source of discomfort for me.

13. I feel upset or uneasy when I see my reflection or photos because of how my gender is perceived.

14. I feel distressed when I am grouped with others by gender in a way that doesn’t fit me.

15. My relationships have been strained by my distress or uncertainty around gender-related issues.

16. My interest in exploring a different gender role or identity has remained steady over time.

17. In my relationships, my gender-related feelings tend to come up repeatedly rather than only once in a while.

18. Being referred to with certain pronouns or gendered terms causes me noticeable distress.

19. Worries about being seen as the “wrong” gender interfere with my ability to relax in public.

20. These feelings tend to return even after I try to ignore them or focus on other things.

21. My distress about gender-related issues has made it harder to take care of myself (e.g., hygiene, meals, exercise).

22. Even during busy or positive periods, thoughts about my gender still come up.

23. I have questioned my gender at multiple points in my life, not just once.

24. Certain sex characteristics of my body (e.g., chest, voice, facial hair, genitals) cause me significant discomfort.

25. My feelings about my gender have been present for a long time (months or years), not just briefly.

26. My feelings of dysphoria can be intense enough to make it hard to concentrate or relax.

27. I have had recurring thoughts about wanting different sex characteristics over an extended period of time.

28. I avoid mirrors, photos, or recordings because they increase my distress about gendered features.

29. I feel tense or on edge when choosing what to wear because it may highlight unwanted features or roles.

30. My gender-related feelings are present even when I am not exposed to gender-related content or conversations.

31. I feel distressed when I have to use gendered spaces (e.g., restrooms, locker rooms).

32. I feel a strong urge to hide or cover parts of my body because seeing them causes distress.

33. My sleep is disrupted by distressing thoughts or feelings about my gender or body.

34. My discomfort with being seen as my assigned sex tends to persist across different settings.

35. When I imagine my future, my gender-related feelings seem likely to remain important rather than fading away.

36. I have avoided healthcare or other appointments because I fear being misgendered or judged.

37. Distress about my gender or body makes it hard for me to enjoy things I usually like.

38. I have felt a sustained pull toward expressing my gender differently across different phases of my life.

39. These feelings show up regardless of who I am with (alone, with friends, with family, with a partner).

40. I feel a strong wish for my body to look more like a gender different from the one I was assigned at birth.

41. If my gender-related feelings ease at times, they still return later with similar strength.

42. My distress about gender or my body has interfered with my performance at work/school or my daily responsibilities.

43. Over time, my feelings about my gender have been more consistent than temporary.

44. When someone assumes my gender incorrectly, I feel a strong emotional reaction (e.g., sadness, anger, anxiety).

45. I feel overwhelmed when I think about how others will gender me.

46. I feel anxious or distressed when my voice, mannerisms, or appearance are read as a gender that doesn’t match my sense of self.

47. I notice gender-related discomfort or incongruence both in private (alone) and in public settings.

48. I experience a strong sense of incongruence between my internal gender and my physical body.

49. I feel distressed when I cannot present myself in a way that matches how I identify.

50. I feel hopeless about feeling comfortable with my body or gender role.

51. My feelings about pronouns/name (my own or what I wish people used) have been consistent over time.

52. I feel distress when I have to choose a gendered option (e.g., forms, bathrooms, teams) that does not fit me.

53. I feel emotionally drained from managing how others perceive my gender.

54. I notice gender-related discomfort or longing in multiple areas of my life (e.g., home, work/school, social situations).

55. I feel anxious or panicky when I am reminded of my sex characteristics.

56. Thoughts about my gender or body have caused me significant emotional distress.

57. My gender-related feelings persist even when I try to meet expectations associated with my assigned sex.

58. When I am addressed by my name, I feel discomfort because it signals a gender that does not fit me.

59. These feelings have negatively affected my mood (e.g., sadness, irritability, numbness).

60. I spend a lot of time worrying about how my body looks or sounds in gendered ways (e.g., voice, chest, hips, facial hair).

61. I avoid certain activities (like swimming, gyms, dating, or photos) because of discomfort about my body or gender presentation.

62. I feel shame or self-criticism because of my gender-related feelings.

63. My sense that something about my gender feels ""off"" is stable over time rather than changing day to day.

64. My discomfort about my gender or body interferes with my mood or daily functioning.