Submit Form

On this webpage you can select the image of your body modification you want to send us. Please fill in a few personal details first. Only one image can be uploaded at a time. If you have multiple modifications, please complete the personal details section for each image. Instructions how to fill out the form can be found here. Go back to the Homepage here.

Personal Details and Upload Section for Images

All fields marked with a * are required. Please note that the maximum image file size allowed is 2mb.

Username*

Age*

Sex*

Town*

Country*

Ethnic Background

Religion

Employment

Type of Modification*

Location of Modification*

Design Description*

Select Image*

Consent and submit details

If you are 18 years of age or older and freely consent to participate in the study, tick the consent box and press the 'Submit Form' button. By agreeing this, you state that the image(s) are yours and not anyone elses. Please make sure all the required fields are completed. Many thanks for your help with the study.

Tick this box if you consent that your image may be used for publication

Tick this box to consent*

Username*
Age*
Sex*
Town*
Country*
Ethnic Background
Religion
Employment
Type of Modification*
Location of Modification*
Design Description*
Select Image*