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Impact of Childhood Traumas on Adult Behavior
Anonymous Survey
By sharing your truth in the questions below you are assisting BrooksWell in its search to identify roots and reactions to possible strongholds.
Your responses are 100% anonymous - Thank you for your time
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1.
Which types of childhood traumas have you experienced? Select all that apply.
(Required.)
Physical abuse
Emotional abuse
Sexual abuse
Sibling abuse
Neglect
Parental separation or divorce
Substance abuse in the household
Exposure to pornography
Mental illness in the household
Domestic violence
Homelessness
Loss of a loved one
Other
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2.
Have you experienced issues with any of the following? Select all that apply.
(Required.)
Drug Addiction
Alcohol Abuse
Infidelity/Adultery
Pornography/Sex Addictions
Anger Issues
Suicidal Idiation
Stealing
Lying/Exaggeration
Family Astrangement
Lawlessness
Gambling/Gaming Addiction
Shopping Addiction
Eating Disorders
Trust Issues
3.
In what ways do you think your childhood traumas have influenced your adult behavior?
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4.
How much do you associate your adult behaviors with your childhood?
(Required.)
No Association
Strong Association
Clear
