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1. Male or Female?

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2. What is your age?

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3. Are you the unfaithful spouse or betrayed spouse?

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4. How long have you been married or in a relationship?

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5. What is your current relationship status?

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6. How long did you date your spouse prior to marriage?

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7. Was the affair emotional, physical or both?

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8. How long ago was the affair first discovered (your D-day)?

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9. Is the affair over?

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10. In general, why do you think the affair happened?

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11. How MUCH did/do you and your spouse discuss the whole situation?

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12. How LONG did the talking continue?

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13. Was the talking helpful?

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14. If you are the betrayed, did you want to know details about the affair(s)?

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15. Did your spouse answer your questions?

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16. How MUCH did you talk to friends/family/others (NOT including professionals)?

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17. Was it helpful to talk to friends/family/others?

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18. Have you seen or spoken to a counselor?

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19. If so...How many counselors have you seen?

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20. If you have seen (talked to) a counselor, are you still in counseling?

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21. If you are (were) in counseling, is (was) it as a couple or alone?

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22. Based on your experience with just the first (or only) counselor...Was the counselor helpful?

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23. If you have not seen or talked to a counselor, why not?

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24. Whether still married or divorced...Do you still dwell on the affair(s)?

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25. Do you feel a sense of forgiveness/resolution?

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26. Have you healed?

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27. If you stayed married...Has trust been rebuilt?

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28. If you stayed married...Has the relationship “improved” compared to pre-affair days?

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29. If you got a divorce...Have you been able to trust enough to develop another intimate relationship?

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30. If you got a divorce...What is the quality of any new relationship?

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31. Regardless of your marital situation, what are you currently struggling with most? (You may choose more than one)

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32. What has been the most helpful in your healing and recovery process? (You may choose more than one)

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33. What is the biggest fear for you right now when it comes to your relationship?

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34. What are your biggest frustrations when it comes to dealing with the affair?

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35. Which type of media do you like to utilize most when researching or learning about infidelity and/or relationships?

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36. How often do you visit our site?

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37. Do you have any suggestions for future topics that you would like to see addressed on our site?

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38. Any other suggestions for us regarding anything else - site design, format, etc.?

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