Self-Harm Recovery Pen types (Pen Choice Support)

  • Feedback from using of the Self-Harm Recovery Pen:

    If you have one of my Recovery Pens, I would LOVE to hear your feedback! Weather it's negative or positive feedback, it's all very appreciated!
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  • There are different levels for the SH Recovery Pens, and this form was made to assist in deciding which recovery pen type would be the best fit for each individual.

    ⚠TRIGGER WARNING: Graphic explanations, questions and mentions of self-cutting. Please continue with caution.⚠

    *This is a form, not a quiz. You will not receive any immediate pen recommendations. Please leave your email so I can get back to you on this matter.*

     

  • Have you actively Self-Harmed in the form of cutting before?*
  • Have you tried any harm reduction, or substitute techniques in the past? This could be: The elastic band method, drawing on yourself with red marker, the icecube method, etc.*
  • If yes, how have those methods affected you?*
  • How strongly would you rate your ability to control your impulses? Do you always act on the thought of wanting to self-harm / cut, or are you able to resist?*
  • How strongly would you rate your desire to Self-Harm?*
  • What is your current main Recovery Goal?*
  • When Self-Harming, do you feel the desire to see the blood from the act?*
  • After Self-Harming, do you feel the need / want to have afterwards marks or scars?(Not long-term scars. The product can mimic the mark / injury afterwards for a few days).*
  • When Self-Harming, is the blade dragging, or skin injuring/opening a desire with it?*
  • When Self-Harming, do you feel as though you need the pain that comes with it?*
  • When you're about to Self-cut, what does this typically look like?*
  • What is your main outcome goal you're wanting to achieve from the Self-Harm Recovery Pen?*
  • Are you worried of the Self-Harm Recovery Pen possibly worsening your urges or starting a relapse?*
  • What is the most important feature(s) you're wanting included in your Recovery-Pen? (Select all that apply!)*
  • Do any of the following apply to you? (Select all that do)
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