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"Survey for Women" was made by chaplains.

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*** 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