Have you ever felt just for a few seconds or for days or months…
10. … that your body did not seem to belong to you?	No	Yes
11. … that parts of your body did not seem to belong to you?	No	Yes
12. … that parts of your body were disconnected from the rest of your body?	No	Yes
13. … that your body was very light as if it were floating on air?	No	Yes
14. … that your hands or your feet had become larger or smaller?	No	Yes
15. … that you could not properly feel objects that you touched because it felt as if it was not you touching them?	No	Yes
16. … as if you were outside your body?	No	Yes
17. … that you were not in charge of your movements, so that you felt “automatic” and mechanical as if you were a robot?	No	Yes
18. … that you had to touch yourself to make sure that you had a body or a real existence?	No	Yes
19. … that you had lost some bodily sensations (eg, of hunger and thirst) so that when you ate or drank, it felt like an automatic routine?	No	Yes
20. … that you were invisible?	No	Yes
21. … that you were able to ignore pain?	No	Yes
22. … that you were indifferent to the taste of food whether good or bad?	No	Yes
23. … that you were indifferent to the smell of things whether good or bad?	No	Yes
24. … that, when a part of your body hurt, you felt detached from the pain, as if it were somebody else’s pain?	No	Yes
25. Have you ever purposely hurt, burned, or cut yourself in order to feel pain or make sure that you were real?	No	Yes