And, yes, I mean for you to actually complete the questionnaire.
You can do so in this thread if you'd rather keep your writing on this site:
1. How old are you?
2. What is your sex?
3. What is your occupation (or, if you are a student, area of study)?
4. How old were you when you realized you had a visualization disability? Estimate if necessary.
5. How did that realization come about?
6. How would you describe your visualization ability (or lack thereof)?
7. What impact do you feel your visualization disability had/has on your life?
8. Do you have any hobbies or special interests?
9. Have you ever received an official diagnosis of any neurological, psychological, or behavioral condition?
10. Do you have a mind’s nose, ear, tongue, etc.? In other words, can you produce mental “images” of an auditory or olfactory nature?
11. Rank your visualization ability on a scale of 1-10 where “1” represents a complete inability to visualize and “10” represents outstanding visualization ability (for some frame of reference, when a 10 “visualizes”, their mind immediately fills with high definition, three dimensional, full motion images which can be examined and manipulated with ease).