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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 To my hubby
7. I am Beautiful Yes
8. I am Good Looking No Answer
9. I am Okay Sometimes
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 pretty much, usually jeans and cute shirt but sometimes sexy
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 I love compliments but I dont want anything weird or scary. A nice smile is good enough for me
27. Other:___________ No Answer
*** 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 Some men do this to anygirl that walks I think and its repulsive
30. I am treated as less than special No Answer
31. People don't seem to see the "real me" No Answer
32. Other:___________ No Answer
*** I am Happiest When: ***
33. I am appreciated No Answer
34. I am treated with respect No Answer
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:___________ I think on this one, we need all of this at times
*** What I Need Most in Life to Feel Fulfilled is: ***
41. Love No Answer
42. Respect No Answer
43. Happiness I think in order to be my happiest, I need all of these but the clothes, money. I want the important things in life.
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 yes
50. Hurt yes
51. Abandoned yes
52. Injured No Answer
53. Raped yes
54. Victimized as a Child No Answer
55. Heartbroken yes
56. Other:___________ We all have issues here I think. I am getting through mine but I am also 33 yrs old. It takes awhile and I feel like my spouse now is honest and does respect me as before, my spouse did not
*** 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 I still have issues learning how to express myself when I am upset. I was raised in a yelling screaming invironment & I refuse to raise my kids that way
61. Depression 99 mom passes away w breast cancer, 00 I had 2 lumpectomys, 01 I misscarried & 04 my hubby committed suicide. I have worked through my depression with the help of professionals
62. Other:___________ No Answer
*** 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 I know I am a great mother but at times, we all are affraid of this. the choices we make now can effect our kids for years to come and i am learning this from my life
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 Oh I cant do this at all!
82. I am afraid of being raped (or raped again) Its always on our minds as smart women. you have to ALWAYS watch your surroundings I dont care where you are
83. Other:___________ (see this list for some examples: http://www.phobialist.com/reverse.html) No Answer
*** 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:___________ people i can trust of either sex
*** 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 Its the lasting part of this question that intimidates me in the long run
102. Other:___________ No Answer