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Trauma and Infidelity
Basic Questions
1.
Gender:
Male
Female
2.
Role in the Infidelity:
Betrayed
Wayward
Both (Betrayed and Wayward)
3.
When did you first discover and/or disclose the infidelity?
Month
Year
Date
-- Select an option --
January
February
March
April
May
June
July
August
September
October
November
December
-- Select an option --
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
Prior Year (Other)
Other Year (YYYY)
4.
When was the last time substantial information was discovered and/or disclosed about the infidelity?
Month
Year
Date:
-- Select an option --
January
February
March
April
May
June
July
August
September
October
November
December
-- Select an option --
Year not listed (Other)
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
Prior Year (Other)
Other Year (YYYY)
5.
What Affair Recovery courses or programs have you completed?
None
EMS Weekend
EMS Online
Harboring Hope
Hope for Healing
Bootcamp (Free First Steps Bootcamp for Surviving Infidelity)
6.
How many months has it been since you completed the most recent Affair Recovery course?
I have not participated in an Affair Recovery course or program
Number of Months
7.
How many counselors have you seen since the infidelity was discovered?
8.
How many counseling sessions have you attended since the infidelity was discovered?
9.
How frequently do you discuss the infidelity with your mate?
Every day
A few times a week
Once a week
A few times a month
Once a month
Less than once a month
Mate is no longer in the picture
Have not disclosed to my mate
10.
Is your spouse actively involved in recovery work?
Yes
No
Mate is no longer in the picture
11.
Did your parents ever experience infidelity?
Yes
No
12.
Do you have one close friend or family member that you can talk about the infidelity with on a regular basis?
Yes
No
Current Progress,
0 of 43 answered