{
  "assessmentTests": {
    "gender_dysphoria_screener": {
      "name": "Gender Identity Congruence Check-In",
      "desc": "A 20-question self-reflection across four domains: identity congruence, body congruence, social & role congruence, and distress/impact. This is not a diagnostic tool — it's a starting point for understanding your relationship with your gender identity.",
      "recommendation": "Your gender identity congruence profile",
      "questions": [
        {
          "question": "When I think about my gender, the way I feel inside doesn't match the gender I was assigned at birth.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I find myself imagining what it would feel like to live as a different gender than the one I was assigned.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "The gender other people assume I am, based on how I look or was raised, doesn't feel like an accurate reflection of who I am inside.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a sense of relief or rightness when I imagine being seen and treated as a different gender.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My internal sense of my own gender feels different from the label I was given as a child.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Certain physical features of my body feel wrong or unfamiliar to me, in a way connected to gender.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a strong urge to change specific parts of my body so they better reflect who I am.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Looking in the mirror, what I see doesn't match how I picture myself internally.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I avoid activities like swimming, changing rooms, or intimacy because of discomfort with how my body is gendered.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel more at ease in my body when I dress, style, or present in ways that don't match my assigned gender.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Being referred to by a different name or pronouns than my legal ones feels significantly better than being addressed by my given ones.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel out of place in the social role or expectations assigned to my gender at birth.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I find myself presenting or introducing myself differently depending on how safe I feel expressing my gender identity.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've imagined or actively planned how I would express my gender identity differently to the people in my life.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Being grouped with, or expected to act like, people of my assigned gender feels uncomfortable or inaccurate.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Thoughts about my gender identity affect my mood or concentration during a normal day.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel anxious or low before situations, like ID checks or gendered spaces, that require me to be identified by my assigned gender.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've avoided social situations, photos, or events because of discomfort with how my gender is perceived by others.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My feelings about my gender identity have affected my sleep, appetite, or ability to focus on other parts of my life.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel like sharing more of my true gender identity with the people in my life could improve my day-to-day wellbeing.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "identity_congruence": {
          "name": "Identity Congruence",
          "desc": "How closely your internal sense of your own gender matches the gender you were assigned at birth.",
          "high": "Your internal sense of gender feels noticeably different from the one you were assigned, and imagining a different gender brings a sense of rightness.",
          "low": "Your internal sense of gender feels settled and lines up with the gender you were assigned at birth.",
          "icon": "🧭",
          "science": "Reed, G.M., et al. (2016). Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry, 15(3), 205-221."
        },
        "body_congruence": {
          "name": "Body Congruence",
          "desc": "How much specific physical features feel aligned, or misaligned, with your internal sense of your own gender.",
          "high": "Specific physical features feel unfamiliar or wrong in a way tied to gender, and you may already be adjusting your presentation to feel more at ease in your body.",
          "low": "Your body largely feels like an accurate reflection of who you are; gender doesn't shape how you feel about specific physical features.",
          "icon": "🪞",
          "science": "Coleman, E., et al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1-S259."
        },
        "social_role_congruence": {
          "name": "Social & Role Congruence",
          "desc": "How comfortable you feel in the name, pronouns, and social expectations attached to your assigned gender.",
          "high": "The name, pronouns, and social role attached to your assigned gender feel like a poor fit, and being seen differently brings noticeable relief.",
          "low": "The name, pronouns, and social role attached to your assigned gender feel comfortable and accurate day to day.",
          "icon": "🗣️",
          "science": "Coleman, E., et al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1-S259."
        },
        "distress_impact": {
          "name": "Distress & Functioning Impact",
          "desc": "How much feelings about gender identity are affecting your mood, sleep, focus, and willingness to be seen in daily life.",
          "high": "Feelings about your gender identity are noticeably touching your mood, sleep, or day-to-day functioning, not just your private thoughts.",
          "low": "Gender identity doesn't appear to be creating noticeable distress or disruption in your daily life right now.",
          "icon": "💭",
          "science": "James, S.E., Herman, J.L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The Report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality."
        }
      },
      "results": {
        "minimal": {
          "name": "Strong Identity Congruence",
          "desc": "Your responses suggest your sense of your own gender feels settled and aligned with how you experience your body, your social role, and daily life. Occasional or passing thoughts about gender are common and don't necessarily point to incongruence.",
          "recommendation": "There's no indication here that gender identity is a source of distress for you right now. If that ever changes, the four areas above are a good way to check back in with yourself."
        },
        "mild": {
          "name": "Some Identity Questions",
          "desc": "You may notice occasional feelings that your gender identity, body, or social role don't fully line up, without this being a constant or overwhelming experience yet. Many people move through periods of quiet reflection like this.",
          "recommendation": "This can be a good moment for unhurried self-reflection, journaling, talking with a trusted friend, or exploring LGBTQ+-affirming community spaces, before deciding whether any of this needs more structured support."
        },
        "moderate": {
          "name": "Noticeable Identity Incongruence",
          "desc": "Your responses point to a fairly consistent pattern: the gender you were assigned doesn't seem to match how you experience yourself, your body, or your social role, and this appears to be touching your day-to-day wellbeing.",
          "recommendation": "A conversation with a gender-affirming therapist or counselor, ideally one following WPATH Standards of Care, can help you explore these feelings at your own pace. Trans Lifeline (877-565-8860) offers peer support from other trans people if you'd rather talk to someone who's been there first."
        },
        "high": {
          "name": "Significant Identity Incongruence",
          "desc": "Your responses describe a strong, persistent mismatch between your gender identity and your assigned sex at birth, one that appears to be touching your body image, your relationships, and your daily functioning. This pattern is consistent with what many people describe before seeking gender-affirming care.",
          "recommendation": "Reaching out to a gender-affirming healthcare provider is a reasonable next step — WPATH's Find a Provider directory (wpath.org) is a good place to start. Trans Lifeline (877-565-8860) is staffed by trans people and available if you'd rather talk to someone first. You don't have to figure this out alone."
        }
      }
    }
  },
  "testNames": {
    "gender-dysphoria-screener": "Gender Identity Congruence Check-In"
  }
}