This free survey is powered by
Create a Survey
Surveys
2013
October
W
What is your phobia
What is your phobia
What is your phobia?
0%
Exit Survey
Hello:
You are invited to participate in our survey [Phobias]. In this survey, you will be asked to complete a survey that asks questions about [your fears]. It will take approximately [10] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Mikel Rollet] at [(561)-289-9452] or by email [
[email protected]
)
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
*
How old are you?
0-5
5-8
9-12
13-19
20-30
31-45
46-55
56-70
71+
*
Are you scared of anything specific?
Yes
No
I don't know
*
Do you feel scared or wary about what what position you take or will take in society?
Yes
No
*
Are you scared of open spaces or of being in crowded, public places like markets; leaving a safe place?
Yes
No
*
If you said yes or I don't know to Question number #1, what makes you feel anxious, uncomfortable, scared, worried, ect. (Select all that apply)
Phobias
Itching or of the insects that cause itching
The Darkness
Heights
Wild animals
Streets or crossing the street
Needles or pointed objects
Cats
Chickens
Floods
Being forever alone
Bees
Spiders
Fire
Thunder and lightning
Imperfection
Being forgotten
Ventriloquist's dummies, animatronic creatures, wax statues - anything that falsely represents a sentient being
Being dirty
Being alone or of oneself
Flying on an airplane
Microbes
Bacteria.
Missiles or bullets
Stairs or steep slopes
Depth
Amphibians
Toads
Ugliness
Cancer
Cold
Chemicals or working with chemicals
Bats
Confined spaces
Being locked in an enclosed place
Stings
Cemeteries
Clowns
Dogs
Rabies
Demons
Dentists
Electricity
Vomiting
Insects
Horses
Being laughed at
Old people
Growing old
Speaking in public
Being robbed
Blood
Firearms
Being hypnotized
Going to the doctor
Fish
Termites
Cockroaches
Tornadoes
Hurricanes
Otters
Punishment
Mice
Small things
Ants
Death or dead things
Hospitals
Becoming ill
Your Stepmother
Gaining weight
Rain or of being rained on
Snakes
Birds
Shellfish
Parasites
Friday the 13th
Poverty
Kissing
Falling or being in love
Spirits
Contracting polio
Rivers
Running water
Puppets
Radiation
Frogs
Halloween
Shadows
Worms
Sharks
Parents-in-law
Germs
Wasps
Being buried alive
Bulls
The sea
Heat
Injury
Tyrants
Witches and witchcraft
Razors.
Animals
Loading...
close
Loading...
Close
qpweb2.questionpro.net