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Hello:
You are invited to participate in our survey for our science project. In this survey, approximately 20 people will be asked to complete a survey that asks questions about your fears and phobias. It will take approximately 10 minutes to complete the questionnaire.
 
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
How old are you?
 
1-10
 
11-20
 
21-30
 
31+
 
 
 
What is your biggest fear of the following?
 
ARACHNOPHOBIA (spiders)
 
AEROPHOBIA (flying)
 
ACROPHOBIA (heights)
 
BRONTOPHOBIA (thunderstorms)
 
CLAUSTROPHOBIA (being trapped in small confined spaces)

 
 
 
How do you most commonly deal with your fears?
 
AVOIDANCE
 
CONFRONTATION
 
DENIAL
 
RATIONALIZATION
 
TALKING w/OTHERS
 
OTHER

 
 
 
Have you ever overcome a biggest fear?
 
yes
 
no
 
 
 
Have you ever had to seek outside help from your fears?
 
yes
 
no
 
 
 
If so, who did you turn to?
 
family
 
friends
 
professional help
 
media sources
 
etc

 
 
 
Has overcoming any of your fears drastically changed your life?
 
yes
 
no
 
 
 
Did overcoming any of your fears dramatically change you as a person?
 
yes
 
no