| *** These question are serious and will help in writing several articles and a book I am preparing. *** |
| 1. Please rate the following statements by how you would apply them to yourself, and as honestly as possible. |
No Answer |
| *** You may choose more than one in each category *** |
| 2. but answer as simply as possible. |
No Answer |
| 3. If you would like to write an explanation for your answers, you may. |
No Answer |
| 4. All responses will be kept confidential. |
No Answer |
| *** Self-Image: *** |
| 5. I am a Hottie |
Sometimes |
| 6. I am Eye Candy |
Sometimes |
| 7. I am Beautiful |
Inside more than outside |
| 8. I am Good Looking |
I have my good days |
| 9. I am Okay |
yes |
| 10. I am Not Attractive |
no |
| 11. I am Fat |
hmm...not really |
| 12. I am a MILF |
I have been called that |
| 13. Other:___________ |
No Answer |
| *** I Dress the Way I Do, Because: *** |
| 14. I feel like it |
yes |
| 15. I want to |
yes |
| 16. I need to |
no |
| 17. I feel powerful when I do |
no |
| 18. I love what I wear |
sometimes |
| 19. I like the response I get, even if it's not the response I want |
sometimes, I usually don't think too much about it |
| 20. Other:___________ |
No Answer |
| *** I Like It When: *** |
| 21. Men look at my Pictures on MySpace |
I don't think so |
| 22. Men get "excited" over my pictures on MySpace |
I never thought of it..yeck |
| 23. Men relate to me as a desirable female |
maybe? |
| 24. Men leave me messages about how "Hot" I am |
lol...no...well, a few times from old men |
| 25. Men pay any attention at all to me |
sometimes |
| 26. Men leave me alone |
no, but as I age, more and more |
| 27. Other:___________ |
As I get older men don't seem as interested in me as when I was younger |
| *** It Bothers Me When: *** |
| 28. I am posing in a way to illicit a response from men in pictures |
no |
|
|
| 29. I men judge me as an object |
I hope not |
| 30. I am treated as less than special |
yes |
| 31. People don't seem to see the "real me" |
sometimes this is true |
| 32. Other:___________ |
No Answer |
| *** I am Happiest When: *** |
| 33. I am appreciated |
sometimes but not often |
| 34. I am treated with respect |
rarely |
| 35. I am acknowledged |
rarely |
| 36. I am loved |
not really...but by my friends and kids |
| 37. I am sexy |
I have days |
| 38. I am shopping |
some days I think so, some days I think not |
| 39. I am successful |
not really |
| 40. Other:___________ |
No Answer |
| *** What I Need Most in Life to Feel Fulfilled is: *** |
| 41. Love |
yes |
| 42. Respect |
yes |
| 43. Happiness |
yes |
| 44. Sex |
yes |
| 45. Money |
not, really but I would love to someday to have just "enough" |
| 46. Clothes |
not really, but don't want to be cold |
| 47. A Hug |
yes |
| 48. Other:___________ |
No Answer |
| *** The Biggest "Pain" I Deal With is Because I was/Have Been *** |
| 49. Lied to |
yes |
| 50. Hurt |
yes |
| 51. Abandoned |
yes |
| 52. Injured |
yes |
| 53. Raped |
yes |
| 54. Victimized as a Child |
yes |
| 55. Heartbroken |
yes |
| 56. Other:___________ |
But I survived and know that happiness is just a day away.. |
|
|
| *** I deal with the Following: *** |
| 57. Addiction to medications/drugs (prescription or otherwise) |
I am not sure...I am addicted to nicotine...have had drug issues but none that disrupted my life..alcohol was a big problem for me when I was younger |
| 58. Alcohol |
yes |
| 59. Over-eating |
sometimes |
| 60. Temper/Anger |
no..lol |
| 61. Depression |
sometimes |
| 62. Other:___________ |
No Answer |
| *** My Biggest Fear Is: *** |
| 63. I won’t be a success |
yeah...I am number 6 out of 7 children and even at age 47 I feel like I cannot catch up to my sibblings successes...they are all sucessful...then there is me. |
| 64. I won’t be taken seriously |
sometimes |
| 65. I’ll go unnoticed |
true, when I was a child I thought for a while that I was invisible |
| 66. I won't be a good wife |
naaaa...I think I was a good wife till the end |
| 67. I won't be a good mother |
I thought I was a good mom, it was the most important job to me |
| 68. I will never find a partner in life |
true |
| 69. I made a mistake getting together with the one I'm with (married or not) |
I am alone |
| 70. I will never get married |
true, I worry |
| 71. I will never find a partner who is "worthy of me" |
naaaa...everyone just about is Worthy...it's not that |
| 72. I am not worthy of being loved by someone |
sometimes I feel that way |
| 73. My children will not be well adjusted |
My child is NOT well adjusted and I followed all the books... |
| 74. I am going to hurt my children |
never |
| 75. I am going to hurt myself (or hurt myself again) |
unlikely |
| 76. I am a powerful person |
no |
| 77. I will be successful |
it's getting late |
| 78. I will not know how to handle success when it comes |
I think I could adjust |
| 79. I am afraid of people |
yes, a little |
| 80. I am afraid of going outside |
sometimes |
| 81. I am afraid of speaking in public |
definetly |
| 82. I am afraid of being raped (or raped again) |
yes |
| 83. Other:___________ (see this list for some examples: http://www.phobialist.com/reverse.html) |
stores, decision making, anything that involves making a decision....a little neurotic |
| *** I Prefer the Company of: *** |
| 84. Men |
yes, most men fascinate me |
|
|
| 85. Women |
I have some wonderful great women friends |
| 86. Teens |
I love kids |
| 87. Children |
I love kids but I am tired.... |
| 88. Girls |
No Answer |
| 89. Boys |
No Answer |
| 90. Elderly |
I take care of my Dad...I love him dearly but it is overwhelming at times |
| 91. Other:___________ |
No Answer |
| *** I My Perfect World I Would Be: *** |
| 92. A Model |
no |
| 93. A Singer/Musician |
I would love this |
| 94. An Actor |
maybe |
| 95. A Director |
no |
| 96. A Manager |
no |
| 97. A Mother |
yes |
| 98. A Bride |
yes |
| 99. Loved by Anyone |
no, by the one I love |
| 100. Loved by Someone |
yes that I loved too |
| 101. Find love that was real and lasting |
yes |
| 102. Other:___________ |
No Answer |