SYNAESTHESIA
ALERT - PLEASE COMPLETE ONLY IF YOU IDENTIFY WITH HAVING SYNAESTHESIA
Sign in to Google to save your progress. Learn more
What was your sex at birth? *
What is your MBTI personality type? (If you do not know, please follow this link -  https://www.16personalities.com/free-personality-test - and complete the test; it takes around 10 minutes to complete) *
Which two dimensions out of the five do you score highest on in the Big Five personality test (please add percentages as well)? (If you do not know, please follow this link - https://www.truity.com/test/big-five-personality-test - and complete the test; it takes around 5 minutes to complete) *
What age did you realise you have synaesthesia? *
What form/s of synaesthesia do you have? Please describe them *
What is your earliest memory of your syneasthesia form/s and has the link remained? (I.e. the first time you saw the letter 'A' it was red, so now 'A' is always red, or does the colour of 'A' change depending on the situation) *
Do you have any physical health issues? If so, what are they? *
Do you have any mental health diagnoses and conditions? If so, what are they? *
To your knowledge, do any of your family members have any mental health diagnoses and/or conditions? If so, what are they? *
Do you have any learning difficulties? If so, what are they? *
Which is your preferred way of learning? *
Have you ever experienced psychosis?
Clear selection
If you have ever undertaken recreational drugs, what drugs have you taken and roughly how many interactions have you had with these drugs (please include time frames as well)? *
Which is your dominant hand (if you have hand/s)? *
Are you spatially aware?
Clear selection
Do you have difficulties multitasking? *
Do you excel in creative activities/tasks? *
Are you very open-minded? *
Are you highly intuitive? *
Do you have a vivid imagination? *
Do you experience pareidolia (seeing faces in objects)? *
Please tell me some strengths and deficits you have noticed from having synaesthesia (if you have noticed any) *
Please write your name below (if I know you)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy