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Fear Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Fear
1
What is your biggest fear?
Select one option that best describes your biggest fear.
Spiders
Heights
Public Speaking
Death
Other
2
On a scale of 1 to 10, how much does fear impact your daily life?
Rate the impact of fear on your daily life, where 1 is minimal and 10 is significant.
3
Share a situation where you overcame a fear.
Describe a specific situation and how you managed to conquer your fear.
4
Do you believe facing fears is important for personal growth?
Share your perspective on facing fears and its impact on personal development.
Yes
No
Not Sure
5
What physiological symptoms do you experience when facing fear?
Select all applicable options that describe your physical reaction to fear.
Increased Heart Rate
Sweating
Trembling
Shortness of Breath
Other
6
How do you usually cope with fear?
Share your typical coping mechanisms when dealing with fear.
7
Have you ever sought professional help for your fears?
Answer if you have ever consulted a professional for assistance with your fears.
Yes
No
8
Rate your current level of fear tolerance.
Rate your capacity to tolerate fear-inducing situations, where 1 is low tolerance and 10 is high tolerance.
9
What activities help you manage fear?
List activities or practices that assist you in managing your fears.
10
In your opinion, what is the primary cause of fear?
Provide your thoughts on what contributes most to the development of fear.
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