* 1. If you share with us your email address, we will share with you resources regarding self harm.  We promise not to share you information and if you wish to remain anonymous, this is not required.

* 2. How old are you?

* 3. How old were you when you first learned of the concept of self harm (cutting, etc)?

* 4. Where did you learn about self harm/cutting?

* 5. Have you ever cut on yourself or self harmed in some way? (If no, please skip to question 7?)

* 6. If you have self harmed, how old were you the first time you cut on yourself?

* 7. Do you have a friend or know of someone in your school who self harms?

* 8. What do you want to know more about when it comes to self harm?

* 9. What advice would you give to someone thinking about hurting themselves?

* 10. If you have a brief story about self harm that you think would help others and could be included in a book, please share this information without revealing any names. If you have self harmed and are willing to share what you believed caused this behavior and how you stopped, we'd love to hear what you have to say as well.  (Please make this as few sentences as possible)

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