DissociationMadeSimpleSurvey

Dissociation Made Simple Contributor Survey

Name *

Please verify if you wish to be identified by the above name, your system's name, or anonymous/a pseudonym *

What is your chronological age? *

How would you describe your racial and/or ethnic identity? *

How would you describe your gender identity? *

What are some of your favorite resources (e.g., websites, podcasts, books) that you would recommend to others wanting to navigate life with a dissociative issue? *

What are some key research studies or projects that you think would be helpful to people navigating life with a dissociative disorder? There is an opportunity to upload any files below. *

Upload File *

Max file size: 20MB

Please name any other information that you would like to share with Dr. Marich at this time, if any. *

Submit

Dissociation Made Simple Contributor Survey

"The wound is the place where the light enters you." -Rumi