Book chat screening survey

Question Title

* 1. Your name (first or full), pronouns and email address:

Question Title

* 2. How has trauma impacted your sexuality, your relationship to pleasure and/or your relationships with others? Please list 1 - 3 prominent examples.

Question Title

* 3. For context, please briefly describe the primary event(s)/situation(s) that have contributed to your trauma, speaking in generic or specific terms—whichever you prefer.

Question Title

* 4. What has most helped you manage trauma or heal so far? Or what do you think would most help, if you went for it or had access?

Question Title

* 5. Given that this book is about managing trauma for more vibrant sex, pleasure and relationships, what one message or idea do you most hope it will include?

Question Title

* 6. Your age (approximate or exact):

Question Title

* 7. Your race or ethnicity (or “P” for “prefer not to say”):

Question Title

* 8. Your gender identity, if any (or “P” for “prefer not to say”):

Question Title

* 9. Your sexual orientation (or “P” for “prefer not to say”):

Question Title

* 10. Why would you like to talk about your experience with August for potential inclusion in this book? Anything else you’d like to share?