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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
6. I am Eye Candy No
7. I am Beautiful I am a woman, therfore I feel beautiful just being me.
8. I am Good Looking When I look in the mirror, I am happy with what I've got. I accept all of me.
9. I am Okay Sometimes
10. I am Not Attractive Sometimes
11. I am Fat No
12. I am a MILF Ha ha ha! I have been told that before.
13. Other:___________ No
*** I Dress the Way I Do, Because: ***
14. I feel like it Kind of
15. I want to I buy clothes that look good on me and I feel comfortable in.
16. I need to No
17. I feel powerful when I do When I have a big meeting, I enjoy wearing my POWER suits, makes me feel confident.
18. I love what I wear Usually, but there are times I wish I could afford some nicer clothes
19. I like the response I get, even if it's not the response I want No
20. Other:___________ No
*** I Like It When: ***
21. Men look at my Pictures on MySpace Nope, I have my profile Private.
22. Men get "excited" over my pictures on MySpace Not that I know of
23. Men relate to me as a desirable female Some do, yes. I am very outgoing and approachable I think.
24. Men leave me messages about how "Hot" I am I have had a couple of those, but they just get ignored.
25. Men pay any attention at all to me They do, but I don't care.
26. Men leave me alone Depends on the man
27. Other:___________ No
*** It Bothers Me When: ***
28. I am posing in a way to illicit a response from men in pictures No, I don't do that. I don't go looking for attention from men.
29. I men judge me as an object YES, we are humans, not objects..but not all men are like that.
30. I am treated as less than special No, we can't be special to everyone. I know I am special to the people that matter.
31. People don't seem to see the "real me" Not true for me, what you see is what you get!
32. Other:___________ No
*** I am Happiest When: ***
33. I am appreciated Yes, we all want to feel appreciated.
34. I am treated with respect YES, if you don't respect me, then I won't even deal with you.
35. I am acknowledged Sometimes is fine, it doesn't have to be every little thing, but definitely sometimes is nice.
36. I am loved Absolutely, who doesn't like to feel loved!
37. I am sexy I like to look good and feel sexy sometimes, absolutely it makes me happy when I feel sexy.
38. I am shopping No, shopping is really not my thing.
39. I am successful Yes, I am very proud of myself when I am successful in my life.
40. Other:___________ No
*** What I Need Most in Life to Feel Fulfilled is: ***
41. Love Before no, but now yes. Since I have found love, I don't know what I'd do without him now.
42. Respect Yes, respect is very important in all aspects of life.
43. Happiness Yes, life would suck being angry all the time.
44. Sex Yes, for me at this point, it is very important in my life.
45. Money Somewhat, I just want enough to live comfortably and take care of my son.
46. Clothes Not major as long as I have some to wear, that's fine.
47. A Hug Hugs are great, absolutely I love hugs!
48. Other:___________ No
*** The Biggest "Pain" I Deal With is Because I was/Have Been ***
49. Lied to YES, this is HUGE with me! Don't lie to me, I just have no patience for it.
50. Hurt Physically - nothing major that affects me now
51. Abandoned Yes, my mother left when I was 15. I have not seen her in 13 years, but have talked to her here and there.
52. Injured Nope
53. Raped Almost once when I was younger.
54. Victimized as a Child No
55. Heartbroken Yes, but that happens in life.
56. Other:___________ No
*** I deal with the Following: ***
57. Addiction to medications/drugs (prescription or otherwise) Nope
58. Alcohol Nope
59. Over-eating Nope
60. Temper/Anger Nope
61. Depression Sometimes, but I think it's normal to get down sometimes. It's just part of life's ups and downs for me.
62. Other:___________ No
*** My Biggest Fear Is: ***
63. I won’t be a success No, I 'll do whatever I have to do to be a success.
64. I won’t be taken seriously Nope, I will kick **** and take names
65. I’ll go unnoticed No I don't fear that
66. I won't be a good wife Yes, I hope I'll be what he expects, as long as it's not ridiculous!
67. I won't be a good mother I am a mom already, sometimes I wonder about certain decisions, but I just do my best.
68. I will never find a partner in life No
69. I made a mistake getting together with the one I'm with (married or not) Not anymore, I divorced that one.
70. I will never get married No I don't fear that
71. I will never find a partner who is "worthy of me" No
72. I am not worthy of being loved by someone No
73. My children will not be well adjusted I did fear that before, but he is doing great.
74. I am going to hurt my children No
75. I am going to hurt myself (or hurt myself again) Yes, I am definitely afraid to get my heart broken.
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, I will welcome it!
79. I am afraid of people Sometimes, so many crazy people out there...it is scary sometimes.
80. I am afraid of going outside No
81. I am afraid of speaking in public YES
82. I am afraid of being raped (or raped again) No
83. Other:___________ (see this list for some examples: http://www.phobialist.com/reverse.html) No
*** I Prefer the Company of: ***
84. Men Yes, I get along with all kinds of people. I'm very social when I want to be.
85. Women Yes, I get along with all kinds of people. I'm very social when I want to be.
86. Teens If it's family, otherwise not really. Teens can be very difficult
87. Children Yes, babies and toddlers...I love stooping to their level and playing games with them.
88. Girls Sure
89. Boys Sure
90. Elderly Family - yes
91. Other:___________ No
*** I My Perfect World I Would Be: ***
92. A Model No
93. A Singer/Musician Sure if I could sing! I absolutely love music!
94. An Actor No
95. A Director No
96. A Manager Yes - with the career path I am on, manager is a goal for me.
97. A Mother I am and I love it!
98. A Bride One day, maybe
99. Loved by Anyone No
100. Loved by Someone Yes, my man now - forever
101. Find love that was real and lasting I think I have.
102. Other:___________ No