Items:

1. I prefer to behave like my affirmed gender.
2. Every time someone treats me like my assigned sex I feel hurt.
3. It feels good to live as my affirmed gender.
4. I always want to be treated like my affirmed gender.
5. A life in my affirmed gender is more attractive for me than a life in my assigned sex.
6. I feel unhappy when I have to behave like my assigned sex.
7. It is uncomfortable to be sexual in my assigned sex.
8. Puberty felt like a betrayal.
9. Physical sexual development was stressful.
10. I wish I had been born as my affirmed gender.
11. The bodily functions of my assigned sex are distressing for me (i.e. erection, menstruation).
12. My life would be meaningless if I would have to live as my assigned sex.
13. I feel hopeless if I have to stay in my assigned sex.
14. I feel unhappy when someone misgenders me.
15. I feel unhappy because I have the physical characteristics of my assigned sex.
16. I hate my birth assigned sex.
17. I feel uncomfortable behaving like my assigned sex.
18. It would be better not to live, than to live as my assigned sex.

Response Options:
Completely Disagree – 1
Disagree – 2
Neither Agree nor Disagree – 3
Agree - 4
Completely Agree - 5