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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 No Answer
6. I am Eye Candy No Answer
7. I am Beautiful No Answer
8. I am Good Looking People say I'm good looking, but I don't feel that I am, until I dress do myself up to my standards. Sometimes it's just a tshirt and jeans.
9. I am Okay No Answer
10. I am Not Attractive No Answer
11. I am Fat No Answer
12. I am a MILF No Answer
13. Other:___________ No Answer
*** I Dress the Way I Do, Because: ***
14. I feel like it I dress how I am comfortable, not how others expect me to dress.
15. I want to No Answer
16. I need to No Answer
17. I feel powerful when I do No Answer
18. I love what I wear No Answer
19. I like the response I get, even if it's not the response I want No Answer
20. Other:___________ No Answer
*** I Like It When: ***
21. Men look at my Pictures on MySpace No Answer
22. Men get "excited" over my pictures on MySpace No Answer
23. Men relate to me as a desirable female No Answer
24. Men leave me messages about how "Hot" I am No Answer
25. Men pay any attention at all to me No Answer
26. Men leave me alone No Answer
27. Other:___________ I prefer it when men treat me with respect and not like I am 'hot'.
*** It Bothers Me When: ***
28. I am posing in a way to illicit a response from men in pictures No Answer
29. I men judge me as an object No Answer
30. I am treated as less than special No Answer
31. People don't seem to see the "real me" No Answer
32. Other:___________ People judge me because I'm outspoken, and it seems to scare them.
*** I am Happiest When: ***
33. I am appreciated No Answer
34. I am treated with respect Being respected is the most important to me.
35. I am acknowledged No Answer
36. I am loved No Answer
37. I am sexy No Answer
38. I am shopping No Answer
39. I am successful No Answer
40. Other:___________ No Answer
*** What I Need Most in Life to Feel Fulfilled is: ***
41. Love I think Love and Happiness go hand in hand. I'm a mother so it's hard to pick just one.
42. Respect No Answer
43. Happiness No Answer
44. Sex No Answer
45. Money No Answer
46. Clothes No Answer
47. A Hug No Answer
48. Other:___________ No Answer
*** The Biggest "Pain" I Deal With is Because I was/Have Been ***
49. Lied to Being lied to is the worst thing to happen to me. I lose trust in many people after being lied to.
50. Hurt No Answer
51. Abandoned No Answer
52. Injured No Answer
53. Raped No Answer
54. Victimized as a Child No Answer
55. Heartbroken No Answer
56. Other:___________ No Answer
*** I deal with the Following: ***
57. Addiction to medications/drugs (prescription or otherwise) No Answer
58. Alcohol No Answer
59. Over-eating No Answer
60. Temper/Anger No Answer
61. Depression No Answer
62. Other:___________ none
*** My Biggest Fear Is: ***
63. I won’t be a success No Answer
64. I won’t be taken seriously No Answer
65. I’ll go unnoticed No Answer
66. I won't be a good wife No Answer
67. I won't be a good mother No Answer
68. I will never find a partner in life No Answer
69. I made a mistake getting together with the one I'm with (married or not) No Answer
70. I will never get married No Answer
71. I will never find a partner who is "worthy of me" No Answer
72. I am not worthy of being loved by someone No Answer
73. My children will not be well adjusted No Answer
74. I am going to hurt my children No Answer
75. I am going to hurt myself (or hurt myself again) No Answer
76. I am a powerful person No Answer
77. I will be successful No Answer
78. I will not know how to handle success when it comes No Answer
79. I am afraid of people No Answer
80. I am afraid of going outside No Answer
81. I am afraid of speaking in public No Answer
82. I am afraid of being raped (or raped again) No Answer
83. Other:___________ (see this list for some examples: http://www.phobialist.com/reverse.html) I am afraid of losing someone I love.
*** I Prefer the Company of: ***
84. Men No Answer
85. Women No Answer
86. Teens No Answer
87. Children No Answer
88. Girls No Answer
89. Boys No Answer
90. Elderly No Answer
91. Other:___________ Any of the above. I love my kids, my family, and as far as friends, I have a mixture of males and females.
*** I My Perfect World I Would Be: ***
92. A Model No Answer
93. A Singer/Musician No Answer
94. An Actor No Answer
95. A Director No Answer
96. A Manager No Answer
97. A Mother No Answer
98. A Bride No Answer
99. Loved by Anyone No Answer
100. Loved by Someone No Answer
101. Find love that was real and lasting Find true and real lasting love is my top choice.
102. Other:___________ No Answer