This raises junk science to a new level. On one hand, we should be reassured by (quoting from the published article itself): "Statistical analyses of quantitative data were performed using Excel and custom shell scripts (Unix)." Not only is it a survey of a couple of hundred anonymous people found on the internet, they were recruited via three anti-trans web sites. And in the intro to the survey, she further preordains the conclusion by this paragraph: "You are being asked to take part in a research study if you have a child who, when they were between the ages of 10 and 21, developed a sudden or rapid onset of gender dysphoria. This may have occurred in the context of either increased social media/Internet use, and/or belonging to a friend group in which one or multiple friends have developed gender dysphoria and come out as transgender during a similar time frame."