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Thanks in advance for answering the questions below. Your answers will help other women who are in situations like yours.

(Make sure to click the "done" button at the very bottom - or your answers will be lost... thanks again and talk soon!)

- Kevin Jackson

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* 1. What is your age?

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* 2. Do you know for sure your man cheated?

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* 3. Does your man clearly regret and have remorse for what he's done?

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* 4. Is he still seeing the other woman?

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* 5. Does your man think he's in love with the other woman?

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* 6. Please rate how important each of the following is to you:

  Not important To Me At All A Little Important Important Very Important Extremely Important
To get your man to "come clean" about the details of the affair.
To get the images out of your head
To figure out if you can ever trust your man again
To get your man to appreciate your pain more
To figure out whether you should stay or leave him
To stop worrying if the other woman was better than you in bed
To heal your pain and jealous feelings
To save your marriage
To stop your man from seeing the other woman/women

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* 7. Which best describes you?

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* 8. Since you learned about the affair, what have you tried to heal your pain or heal your marriage? And how has it worked so far?

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* 9. What's your biggest FEAR about the situation right now?

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* 10. What's your biggest FRUSTRATION about the situation right now?

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* 11. Are you sleeping OK?

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* 12. Do you still love your man?

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* 13. Does your husband want to save the marriage?

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* 14. Do you want to save your marriage?

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* 15. Is this the hardest thing you've ever gone through?

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* 16. Do you have children under 18 years old with your husband?

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* 17. What do you SECRETLY worry about, if anything?

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* 18. If you could ask me any question about your situation, what would it be?

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* 19. Are you married to your man or dating him?

Thanks again for sharing your experience. It'll help me do an even better job of helping women who have been cheated on.

They thank you, and I thank you.

Please press "done" now to complete the survey.

Talk soon.
Kevin Jackson, Creator of the Survive His Affair System

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