Borderline Personality Disorder Polls

Borderline Personality Disorder Polls

(only those with the BPD are to fill these out)

Page 2

Treatment and Finances

Can you afford treatment at least once per week?

Yes
No
Varies considerably

Current Results

Living Arrangements

Where do you live?

with a parent or parents
with other relatives (not spouse)
with spouse or other committed partner
alone
with roommates or other group setting
other situation

Current Results

Children

Do you have children? Click as many as apply.

Yes
No
Yes, they live with me
Yes, they are in someone else's custody
Yes, they live with older children who are self sufficient
Yes, they are grown and do not live with me.

Current Results

Children & Mental Health

Answer only if you have children. Click on all that apply.

I have children (child) and they have no mental health disorder.
My children (child) has at least one mental health disorder.
My children (child) have the BPD.
...have the bipolar disorder.
...have OCD.
...have OCPD.
...have AD(H)D.
...have anxiety disorders.
...have panic disorder.
...have phobias.
...have conduct disorder.
...have PMS.
...have schizophrenia.
...are substance abusers.
...are depressed.
...another personality disorder.
...suspect my child has some mental health disorder.
...have learning disabilities.
...have tourette disorder
...have another mental health disorder not listed here.

Current Results

Medical Insurance

Do you have insurance that covers both counseling and medication?

Yes
No
Covers meds but not counseling
Covers counseling but not meds

Current Results

Insurance Coverage

If you have insurance, how much does it cover?

90% and up
80%
70%
60%
50%
less than 50%

Current Results

Alcohol/Drug Use

Do you abuse alcohol and/or illegal substances?

Yes
No
I used to.

Current Results

Age

What is your current age?

younger than 16
16 - 18
19 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 or older

Current Results

Age & Symptoms

At what age do you think you suffered the worst BPD symptoms?

There is no way to estimate.
My BPD has been bad during all age groups.
16 and under
17 - 21
22 - 26
27 - 31
32 - 36
37 - 41
42 - 46
47 - 51
52 - 56
57 - 61
62 - 66
67 - 71
72 and up

Current Results

Relatives

Do any of your relatives suffer from any mental health disorder? If so, what? Click all that apply.

Yes, and I will click on which one below.
No
Borderline Personality Disorder
Another Personality Disorder
Bipolar Disorder I
Bipolar Disorder II
Cyclothymia
Chronic Depression
Schizophrenia
OCD
AD(H)D
Panic Disorder
Anxiety Disorders
Schizoaffective Disorder
DID/MPD
Tourette Disorder
Gender Identity Disorder
Alcohol/Drug Use
Chronic Fatigue Syndrome or Fibromyalgia
Not listed.

Current Results

Age of BPD Diagnosis

How old were you when you received your BPD diagnosis?

Under age 10
10 - 15
15 - 18
18 - 20
20 - 25
25 - 30
30 - 35
35 - 40
40 - 45
45 - 50
50 - 55
55 - 60
60 - 65
65 - 70
70 and above

Current Results

BPD Influence on Your Life

Has the BPD affected the following:

Marriage/Relationships
Career/Job
Parenting
Relationship with your Parents
My Self Esteem
Finances
Respect from Others
Legal Issues
Lawful Issues
School/Homework
Respect for Authority
My life is crisis-oriented.
My life is not crisis-oriented.
My Memory
My sleep
I am not in school.
I am too young for my finances to be affected.
Never had a job or career yet
I am not married and never been in a relationship
I am not a parent

Current Results