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Surveys
2012
October
P
Phobia Survey
Phobia Survey
0%
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Personal Details?
Male
female
Age?
-15
16-25
26-35
36-45
46-55
56-65
66-
Do you have a phobia?
Yes
No
Not sure
do you know someone who has a phobia?
yes
no
what phobia do you suffer from?
fear of spiders
fear of flying
fear of the dentist
social phobia
fear of confined space
fear of public speaking
Other
Do you think your phobia effects your life?
yes
no
if yes how
Have you been medically/psychologically treated for your phobia?
yes
no
Can you attribute the onset of your phobia to a specific event?
no
yes
Had that event not occurred, do you think you would still have a phobia?
yes
no
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