Somatoform Dissociation Questionnaire, SDQ-5 Test - the question form
Questions: 5 · 1 minute
1. I have pain when urinating.
1 – Not at all
2 – A little
3 – Moderately
4 – Strongly
5 – Very strongly
2. My body or part of my body is insensitive to pain.
1 – Not at all
2 – A little
3 – Moderately
4 – Strongly
5 – Very strongly
3. I see things around me differently than usual (for example, as if looking through a tunnel or seeing only part of an object).
1 – Not at all
2 – A little
3 – Moderately
4 – Quite a lot
5 – Very much
4. It felt as if my body, or a part of my body, had disappeared.
1 – Not at all
2 – A little
3 – Moderately
4 – A lot
5 – Very much
5. I am unable to speak (or only with great effort), or I can speak only in a whisper.
1 – Not at all
2 – A little
3 – Moderately
4 – Quite a lot
5 – Very much