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Patient Information
Appendix 2: Body Dysmorphic Disorder (BDD) Questionnaire
Name: Date:
Please read each question carefully and check the answer that is true for you.
Also write in answers where indicated.
Yes No
1) Are you worried about how you look?
❑ ❑
If yes, do you think about your appearance problems a lot and wish
you could think about them less?
❑ ❑
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 continue.
2) Is your main concern with how you look that you aren't thin enough or
that you might get too fat?
❑ ❑
3) How has this problem with how you look affected your life?
• Has it often upset you a lot?
❑ ❑
• Has it often gotten in the way of doing things with friends, dating,
your relationships with people, or your social activities?
❑ ❑
If yes, describe how:
