I defiantly agree with the point you are trying to make with this. I think its just a bit confusing to first have the "player" asked if they are comfortable with these themes, and then switch the perspective to their game pov without any indication. So instead it feels like its just another question before said experience gets started.
I think it would help the experience a bit if you somehow conveyed to the player in the pov experience th't that is part of said experience. Like saying that the player got an intake form that they had been asked to fill out, or perhaps there is a consultant you are talking to asking these questions. Maybe when it says we're sorry you're not fully committed, being preceded with "Doctor:". Just something to separate it from the first question is all so it doesn't get misinterpreted as such.
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Personally, I found the sudden switch to be hard to read as well, but I thought it was thematically appropriate. As someone who hasn't been 'diagnosed' yet, I honestly selected "no" because it's what I thought I should do, after which I'm told that I don't take it serious enough etc etc. It was a slap in the face, but so would getting denied *permission to have surgery* by a doctor because they don't think you're trans enough, or any flavor of wrong that not being the perfect fucking CSM diagnosis of a trans person is. Which is, of course, something we agree on and I'm not gonna continue rehashing those points. I just thought that, personally, the sudden shift from content warnings to Fuck You You Can't Play seemed like it contributes to the frustration conveyed by the questionnaire. Also this is a whole month later response to something you likely don't care about anymore or already thought of yourself idk. so im sorry and i hope you're doing well lmao