Where On Your Body Do You Most Often Harm Yourself -- Choose what you believe is the main place on your body that you harm.
Primary Method of Self-Injury -- Choose what you believe is your main method of self-injury. You can only choose one.
Regularly Used Methods of Self-Injury -- Choose all the methods of self-injury that you regularly use. You can choose as many as you like.
Age Began Self-Injuring -- Choose at which age you began self-injuring.
Sexual Orientation -- Choose your sexual orientation.
Gender -- Chose your gender.