| 0 | A normal male who exhibits fully masculine tendencies and feels absolutely no confusion about gender identity. |
|---|---|
| 1 | A normal male who may occasionally exhibit female traits but has essentially no confusion and has not crossed over into ``gender-inappropriate'' behavior. |
| 2 | Someone who basically identifies as male but may occasionally wear women's clothing and usually gets a sexual charge out of it. It never quite becomes an obsession but is an occasional diversion. The tern fetishistic crossdresser is sometimes applied. |
| 3 | A man who still identifies predominantly as male but has a strong female side and often wears women's clothing to express it. At this point, it is an important part of life and should not be suppressed, and it can create problems in relationships. The term crossdresser or transvestite would be appropriate here. |
| 4 | A rather more severe version of 3 or an androgyne who leans male. |
| 5 | An androgyne. This is someone who is equally comfortable (or uncomfortable) in either gender role and can often go back and forth at will. |
| 6 | An androgyne who leans more to the female side. |
| 7 | A physical male who feels mostly female but may still have a rather weak male identity and does not necessarily want to give that up. Such a person, given the freedom, would probably behave as a woman most of the time. Sex reassignment surgery may or may not be a good option. |
| 8 | A transsexual who perhaps still retains a slight male identity but would much rather live as a woman. Many late-onset transsexuals probably fall into this category; often the realization does not quite hit until middle age. |
| 9 | Basically, a woman trapped in a man's body. There may be a hint of male identity. |
| 10 | Someone born a man who has not even a hint of male identity. The condition is painfully evident from a very early age. This is the classic transsexual. Sex reassignment surgery is the best treatment option. |