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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 that's something a 14 year old girl would probably say, not me
6. I am Eye Candy never understood what that means! but no.
7. I am Beautiful yes, i think of myself as classy
8. I am Good Looking yes
9. I am Okay more like when i haven't got any makeup on
10. I am Not Attractive no
11. I am Fat not fat, however i feel like i need to loose a few pounds
12. I am a MILF haha, i don't think so
13. Other:___________ n/a
*** I Dress the Way I Do, Because: ***
14. I feel like it yes, my own sense of style
15. I want to yes
16. I need to no
17. I feel powerful when I do no
18. I love what I wear yes
19. I like the response I get, even if it's not the response I want no
20. Other:___________ i wear what i want for me and no one else
*** I Like It When: ***
21. Men look at my Pictures on MySpace probably
22. Men get "excited" over my pictures on MySpace not that i know of, ew
23. Men relate to me as a desirable female i would hope so
24. Men leave me messages about how "Hot" I am no
25. Men pay any attention at all to me sometimes
26. Men leave me alone i don't act interested because i'm not, i am engaged so i think they look elsewhere
27. Other:___________ n/a
*** It Bothers Me When: ***
28. I am posing in a way to illicit a response from men in pictures i don't do that
29. I men judge me as an object i think men can be pigs so some probably do however i'm not some "easy girl"
30. I am treated as less than special never
31. People don't seem to see the "real me" sometimes
32. Other:___________ n/a
*** I am Happiest When: ***
33. I am appreciated definetely
34. I am treated with respect yes
35. I am acknowledged yes
36. I am loved yes
37. I am sexy yes
38. I am shopping money doesn't buy happiness
39. I am successful yes
40. Other:___________ n/a
*** What I Need Most in Life to Feel Fulfilled is: ***
41. Love most of all!
42. Respect yes
43. Happiness yes
44. Sex yes
45. Money well money helps so i'm not stressed out, so i guess so
46. Clothes no
47. A Hug depends on who from
48. Other:___________ n/a
*** The Biggest "Pain" I Deal With is Because I was/Have Been ***
49. Lied to yes i have a hard time trusting anyone new and unframiliar
50. Hurt yes
51. Abandoned no
52. Injured no
53. Raped no
54. Victimized as a Child no
55. Heartbroken yes
56. Other:___________ n/a
*** I deal with the Following: ***
57. Addiction to medications/drugs (prescription or otherwise) no
58. Alcohol no
59. Over-eating sometimes bad habbit
60. Temper/Anger i say things i don't mean but i am honestly trying to work on that
61. Depression no, just normal saddness sometimes
62. Other:___________ n/a
*** My Biggest Fear Is: ***
63. I won’t be a success yes
64. I won’t be taken seriously no
65. I’ll go unnoticed no
66. I won't be a good wife yes
67. I won't be a good mother yes, i try to be superhuman and don't allow myself room to make mistakes
68. I will never find a partner in life n/a
69. I made a mistake getting together with the one I'm with (married or not) just worry because he is going to be a police officer and that is a hard lifestyle i hope getting married won't be a mistake
70. I will never get married no
71. I will never find a partner who is "worthy of me" no
72. I am not worthy of being loved by someone sometimes i feel like i'm not good enough
73. My children will not be well adjusted no
74. I am going to hurt my children never intentionally maybe if i accidently yell at them or something
75. I am going to hurt myself (or hurt myself again) no
76. I am a powerful person no
77. I will be successful no
78. I will not know how to handle success when it comes no
79. I am afraid of people no
80. I am afraid of going outside no
81. I am afraid of speaking in public just nervous but can handle it
82. I am afraid of being raped (or raped again) with my fiance gone all the time now, yes i worry doing things alone, we live in a world full of creeps!
83. Other:___________ (see this list for some examples: http://www.phobialist.com/reverse.html) n/a
*** I Prefer the Company of: ***
84. Men not necessarily
85. Women not neccessarily like above just anyone who is a good listener and a good friend and caring
86. Teens no
87. Children no
88. Girls no
89. Boys no
90. Elderly no but they are quite wise i love learning from their wisdom
91. Other:___________ n/a
*** I My Perfect World I Would Be: ***
92. A Model not a model just have a model perfect body
93. A Singer/Musician no
94. An Actor no
95. A Director no
96. A Manager yes
97. A Mother n/a
98. A Bride no
99. Loved by Anyone no
100. Loved by Someone someone special not just anyone, someone who i love too
101. Find love that was real and lasting yes
102. Other:___________ n/a