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  1. Surveys
  2. 2016
  3. April
  4. P
  5. phobia
0%
Exit Survey
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
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
 
 
 
Do you feel scared or wary about what what position you take or will take in society?
 
yes
 
no
 
 
 
re 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
 
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
 
unning 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