BDDQ
2
Th is q ues t i onna ir e as k s a b ou t concerns w i t h p h y s ic a l a p p earance. P l ease rea d eac h q ues t i on carefully and circle the answer that is true for you.Also write in answers where indicated. Na m e: T oda y ’s Date: 1. Are you very worried a bout how y ou look? Ye s No I f ye s: Do y ou think a bout your a pp ea ra nce p r oblems a lot a nd wish y ou could t hink a bout them less? Y es No I f ye s: Please list the body area s y ou do n’ t like : Exam ples of disli ked body a reas include: y our skin (for exa m ple: a cne, sca rs, wrinkl es , pa lene ss , redn es s); ha ir ; the sh a pe or size of y our nose , m outh, ja w , lips, stom a ch , hips , etc;or de fects of your ha nd s, g en ita ls, brea sts or a ny othe r body p a rt. (Note: If you a ns wered “No” to eithe r of the a bov e q ue stions, y ou a re finish ed with this qu es tionn a ire. Othe rwise, plea se continu e.) 2. I s y our m a in concer n wit h h ow you lo ok, tha t you a r en ’t thi n e noug h or tha t you m ig ht g et too fat? Yes No 3. How ha s this problem with h ow you look affe cted y our life? Ha s it often up se t you a lot? Yes No Has it often g otten in the wa y of doi ng thi ng s wi th fri en ds or da ting ? Ye s No I f y es, de sc ribe h ow: Has it ca use d y o u a ny pr oblem s wi th school ? Ye s No I f y es, wha t are t he y? Ar e there things y o u av oid because of how y ou l o ok? Yes No I f y es , plea se list them : 4. How much ti m e a da y do y o u us ua l l y s pend thinking about how you l o ok ? a. Le ss than 1 hour a da y b . 1-3 hours a day c. More than 3 hours a da y Interpretation of results: A diagnosis of BDD is likely with the following answers: • Que sti on 1:Ye s to both p a rts • Que sti on 3:Yes to a ny of the que sti ons • Que stion 4 :Answe rs b or c Body Dysmorphic Disorder Questionnaire
description
Self assessment
Transcript of BDDQ
7/17/2019 BDDQ
http://slidepdf.com/reader/full/bddq 1/1
This questionnaire asks about concerns with physical appearance.Please read each question
carefully and circle the answer that is true for you.Also write in answers where indicated.
Name:
Today’s Date:
1.Are you very worried about how you look? Yes No
If yes:Do you think about your appearance problems a lot and wish you could think about
them less? Yes No
If yes:Please list the body areas you don’t like:
Examples of disliked body areas include:your skin (for example:acne,scars,wrinkles,
paleness,redness);hair;the shape or size of your nose,mouth,jaw,lips,stomach,hips,etc;or
defects of your hands,genitals,breasts or any other body part.
(Note:If you answered “No” to either of the above questions,you are finished with this
questionnaire.Otherwise,please continue.)
2. Is your main concern with how you look,that you aren’t thin enough or that you might get too fat?
Yes No
3.How has this problem with how you look affected your life? Has it often upset you a lot?
Yes No
Has it often gotten in the way of doing things with friends or dating? Yes No
If yes,describe how:
Has it caused you any problems with school? Yes No
If yes,what are they?
Are there things you avoid because of how you look? Yes No
If yes,please list them:
4.How much time a day do you usually spend thinking about how you look?
a.Less than 1 hour a day b.1-3 hours a day c.More than 3 hours a day
Interpretation of results:A diagnosis of BDD is likely with the following answers:
• Question 1:Yes to both parts
• Question 3:Yes to any of the questions
• Question 4:Answers b or c
Body Dysmorphic Disorder Questionnaire
