Gender Identity/Gender Dysphoria Questionnaire for Adults and Adolescents (GIDYQ-AA)
Female Assigned at Birth - Adult
Sometimes
Please answer the questions below, rating yourself on each of the items
Always
Rarely
Never
Often
shown using the scale on the right side of the page. Place an X in the box
that best describes how you have felt over the past 12 months.
1 In the past 12 months, have you felt satisfied being a woman?
In the past 12 months, have you felt uncertain about your gender, that
2
is, feeling somewhere in between a woman and a man?
In the past 12 months, have you felt pressured by others to be a
3
woman, although you don't really feel like one?
In the past 12 months, have you felt, unlike most women, that you
4
have to work at being a woman?
5 In the past 12 months, have you felt that you were not a real woman?
In the past 12 months, have you felt, given who you really are (e.g.,
6 what you like to do, how you act with other people), that it would be
better for you to live as a man rather than as a woman?
In the past 12 months, have you had dreams?
If NO, skip to Question 8.
If YES: Have you been in your dreams?
7
If NO, skip to Question 8.
If YES: In the past 12 months, have you had dreams in which you were
a man?
8 In the past 12 months, have you felt unhappy about being a woman?
In the past 12 months, have you felt uncertain about yourself, at times
9
feeling more like a man and at times feeling more like a woman?
In the past 12 months, have you felt more like a man than like a
10
woman?
In the past 12 months, have you felt that you did not have anything in
11
common with either men or women?
In the past 12 months, have you been bothered by seeing yourself
identified as female or having to check the box "F" for female on
12
official forms (e.g., employment applications, driver's license,
passport)?
In the past 12 months, have you felt comfortable when using women's
13
restrooms in public places?
14 In the past 12 months, have strangers treated you as a man?
In the past 12 months, at home, have people you know, such as friends
15
or relatives, treated you as a man?
16 In the past 12 months, have you had the wish or desire to be a man?
17 In the past 12 months, at home, have you dressed and acted as a man?
Sometimes
Please answer the questions below, rating yourself on each of the items
Always
Rarely
Never
Often
shown using the scale on the right side of the page. Place an X in the box
that best describes how you have felt over the past 12 months.
In the past 12 months, at parties or at other social gatherings, have you
18
presented yourself as a man?
In the past 12 months, at work or at school, have you presented
19
yourself as a man?
In the past 12 months, have you disliked your body because it is female
20
(e.g., having breasts or having a vagina)?
In the past 12 months, have you wished to have hormone treatment to
21
change your body into a man's?
In the past 12 months, have you wished to have an operation to
22 change your body into a man's (e.g., to have your breasts removed or
to have a penis made)?
In the past 12 months, have you made an effort to change your legal
23
sex (e.g., on a driver's licence or credit card)?
In the past 12 months, have you thought of yourself as a
24
"hermaphrodite" or an "intersex" rather than as a man or woman?
In the past 12 months, have you thought of yourself as a
25
"transgendered person"?
26 In the past 12 months, have you thought of yourself as a man?
27 In the past 12 months, have you thought of yourself as a woman?
SCORING – DO NOT COMPLETE
Total X’s
(items 1, 13, 27 reverse scored)
Multiplier 1 2 3 4 5
Total Score
Raw Score
(sum of Total Scores)
Scaled Score
(Raw Score/number of items answered)
Patient Name: _________________________
Date: ________________________________
Scored by: ____________________________
