Ok if you all would be kind enough to help with my science fair project, just copy the code and fill it out.
If you wanna remain annonymous then pm it to me.

For those of you who do fill it out Thank You!!!!!!!!!!!!!

Here's mine, as an example:


Gender: Female
Age: 15


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed snall places
(X)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
(X)Insects
(X)Arachnids
(X)Other (specify): Any bug in general.


I have fear of objects, such as:

(X)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(X)Kidnappers
(X)Murderers
(X)Stalkers
(X)Making problems/troubles for others
(X)Feeling over-responsible
(X)Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
(X)Rape
(X)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
(X)Shadowy/Gloomy/Foreboding
(X)Isolation
(X)Strange/Unknown setting
(X)Filthy
()Bright
()Clean
()Unorganized
(X)Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(X)Hating
(X)Grudges
(X)Getting ill
(X)Being lost
()Running away
(X)Dying
()Other (specify):


I have a fear of disasters, such as:

(X)Fire
(X)Hurricane
(X)Tornado
()Lightening
()Losing a Job/Being Fired
(X)Injury/Pain (both to self and others)
(X)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
(X)Not being liked
()Being made fun of
(X)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
(X)Being judged
(X)Repeating mistakes from past
(X)Other (specify): Doing something I will regret fot the rest of my life.


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

(X)Feeling Guilty
(X)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
(X)Being exposed for your weaknesses/failures
(X)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
(X)Growing old alone
()Retirement
()Inactivity
(X)Other (specify): supernatural things/future turning out badly.


State any other fear you have that is not in the above lists: none.

Gender: Female
Age: 18


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
()Insects
()Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
(X)High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
()Kidnappers
(X)Murderers
(X)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
(X)Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(X)Nuclear Holocaust
(X)War
(X)Rape
(X)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
(X)Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(X)Hating
(X)Grudges
(X)Getting ill
(X)Being lost
()Running away
(X)Dying
()Other (specify):


I have a fear of disasters, such as:

(X)Fire
(X)Hurricane
(X)Tornado
()Lightening
()Losing a Job/Being Fired
(X)Injury/Pain (both to self and others)
(X)Death (both to self and others)
(X)Losing security
(X)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
(X)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(X)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
(X)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
(X)Growing old alone
()Retirement
(X)Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Hope it helps!

Gender: Female
Age: 31


I have a fear of places, such as:

()School
()Church
()Crowds
(X)Planes
()Enclosed places
(X)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
(X)Insects (Only roaches)
()Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
()Kidnappers
()Murderers
()Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
()Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
(X)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
()Injury/Pain (both to self and others)
()Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
(X)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(X)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: F
Age: 21


I have a fear of places, such as:

(X)School
()Church
()Crowds
()Planes
()Enclosed places
(X)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
()Insects
(X)Arachnids
()Other (specify):


I have fear of objects, such as:

(X)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
(X)Strangers
()Homo$exuals
(X)Robbers/Thieves
(X)Kidnappers
(X)Murderers
(X)Stalkers
(X)Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(X)Nuclear Holocaust
(X)War
(X)Rape
(X)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
(X)Shadowy/Gloomy/Foreboding
()Isolation
(X)Strange/Unknown setting
(X)Filthy
()Bright
()Clean
(X)Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
(X)Getting ill
(X)Being lost
(X)Running away
(X)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
(X)Losing a Job/Being Fired
(X)Injury/Pain (both to self and others)
(X)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(X)Rejections
(X)Disapproval
(X)Not being liked
(X)Being made fun of
(X)Disappointing others
(X)Being ignored
(X)Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(X)Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(X)“Not being good enough”
(X)Being unstable/crazy
()Being pressured
()Explaining your behavior
(X)Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

(X)New things
()Technology
(X)Change
(X)Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists: None but I see that I have a lot thanks to this list. lol

Gender: F
Age: 14


I have a fear of places, such as:

()School
()Church
(x)Crowds
()Planes
()Enclosed places
(x)Heights (only on ladders, and tall buildings)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
(x)Insects (only larger ones, and caterpillars)
(x)Arachnids
()Other (specify):


I have fear of objects, such as:

(x)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
(x)Strangers (Depends on their appearance)
()Homo$exuals
(x)Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
(x)Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
(x)War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
(x)Filthy
()Bright
()Clean
()Unorganized
(x)Crowded
()Other (specify):


I have a fear of my family members/friends:

(x)Arguing
()Agreeing
(x)Hating
(x)Grudges
(x)Getting ill
(x)Being lost
(x)Running away
()Dying
()Other (specify):


I have a fear of disasters, such as:

(x)Fire
(x)Hurricane
(x)Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
()Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
(x)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
(x)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists: none

Interesting topic, why not!

Gender: Female
Age: 16


I have a fear of places, such as:

()School
()Church
(sometimes)Crowds
()Planes
()Enclosed places
(x)Heights (above/below ground)
(when I cant see the bottom)Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
()Sting Rays
()Bears
()Insects
(x)Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
(sketchy ones)Strangers
()HomoSexuals
(x)Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

(x)Dark
(x)Shadowy/Gloomy/Foreboding
()Isolation
(x)Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(x)Hating
()Grudges
(x)Getting ill
()Being lost
()Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
(x)Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
(x)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
(x)Not being liked
(x)Being made fun of
(x)Disappointing others
()Being ignored
(x)Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(x)Failure
()Success
(x)Making a mistake
(x)Being judged
(x)Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(x)Getting nervous in front of others
(x)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(x)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
(x)Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
(x)Change
(x)Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Female
Age: 15


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
(x)Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
()Insects
()Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
()War
(x)Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

(x)Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
()Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
(x)Disapproval
()Not being liked
()Being made fun of
(x)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(x)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
(x)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

<sub>Gender: Female
Age: Sixteen ^_^


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
(»»)Insects
(»»)Arachnids
(»»)Other (specify): Bees. Yes, they're insects, but I'm deathly afraid of them.


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
()Kidnappers
()Murderers
()Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
()Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
()Dying
(»»)Other (specify): Blaming me for events beyond my control.


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
(»»)Injury/Pain (both to self and others)
()Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
(»»)Disapproval
()Not being liked
()Being made fun of
()Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
(»»)Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(»»)Getting nervous in front of others
(»»)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
(»»)Other (specify): Lack thereof in "serious" situations.


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
(»»)Other (specify): Growing old. Period.

State any other fear you have that is not in the above lists: I think that about covers it! ^_^</sub>

Gender: Female
Age: 16


I have a fear of places, such as:

(x)School
()Church
()Crowds
(x)Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
(x)Sting Rays
()Bears
()Insects
()Arachnids
()Other (specify):


I have fear of objects, such as:

(x)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
(x)Electrical Fences
(x)High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
(x)Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
()Stalkers
(x)Making problems/troubles for others
(x)Feeling over-responsible
(x)Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
()Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
(x)Shadowy/Gloomy/Foreboding
(x)Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

(x)Arguing
()Agreeing
(x)Hating
(x)Grudges
(x)Getting ill
(x)Being lost
(x)Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
(x)Not being liked
()Being made fun of
(x)Disappointing others
(x)Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(x)Failure
()Success
(x)Making a mistake
(x)Being judged
(x)Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(x)Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

(x)Feeling Guilty
(x)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
(x)Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
(x)Change
(x)Making a decision
(x)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists: N/A

(if someone's afraid of the computer, how do they fill this thing out?)

Gender: Female
Age: 16


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
()Insects
()Arachnids
()Other (specify):


I have fear of objects, such as:

(x)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
()Kidnappers
()Murderers
()Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
()Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
(x)Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
()Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
(x)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
(x)Disappointing others
()Being ignored
(x)Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

(X)Taking a leadership role
()Getting nervous in front of others
(X)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
(X)Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
(X)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Female
Age: 15


I have a fear of places, such as:

()School
()Church
(x)Crowds
()Planes
(x)Enclosed places
(x)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
()Sting Rays
(x)Bears
()Insects
(x)Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
(x)Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
(x)Making problems/troubles for others
()Feeling over-responsible
(x)Not doing enough for others
(x)Other (specify): Do rapists count? o_o


I have a fear of events, such as:

(x)Nuclear Holocaust
()War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
(x)Filthy
()Bright
()Clean
(x)Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(x)Hating
()Grudges
()Getting ill
()Being lost
(x)Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
(x)Hurricane
(x)Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
(x)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
(x)Not being liked
(x)Being made fun of
()Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
(x)Being judged
(x)Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(x)Getting nervous in front of others
()Making a fool of yourself
(x)Other (specify): Speaking in front a large amount of people (such as a classroom)


I have a fear of feelings, such as:

()Feeling Guilty
(x)“Not being good enough”
(x)Being unstable/crazy
(x)Being pressured
(x)Explaining your behavior
()Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
(x)Change
(x)Making a decision
(x)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Female
Age: 16


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
(x)Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
()Sting Rays
()Bears
()Insects
()Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
(x)Electrical Fences
(x)High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
(x)War
(x)Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

(x)Dark
()Shadowy/Gloomy/Foreboding
()Isolation
(x)Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
()Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
(x)Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
()Injury/Pain (both to self and others)
(x)Death (both to self and others)
(x)Losing security
(x)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
()Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:
People being able to hear my thoughts

I know it sounds strange but I seriously do get really paranoid about that.

Gender: Female
Age: 14


I have a fear of places, such as:

()School
()Church
(x)Crowds
()Planes
(x)Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

(x)Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
(x)Sting Rays
()Bears
()Insects
()Arachnids
(x)Other (specify): Alligators and Crocodiles


I have fear of objects, such as:

()Guns
(x)Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
(x)High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
(x)War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
(x)Shadowy/Gloomy/Foreboding
(x)Isolation
()Strange/Unknown setting
(x)Filthy
()Bright
()Clean
()Unorganized
(x)Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(x)Hating
(x)Grudges
()Getting ill
(x)Being lost
()Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

(x)Fire
(x)Hurricane
(x)Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
(x)Not being liked
()Being made fun of
(x)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
(x)Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(x)Getting nervous in front of others
(x)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(x)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
(x)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists: The fact that I'm alone with no one else nearby.

Gender:Female
Age:14


I have a fear of places, such as:

()School
()Church
()Crowds
(x)Planes
(x)Enclosed places
(x)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

(x)Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
()Sting Rays
()Bears
(x)Insects
(x)Arachnids
()Other (specify):


I have fear of objects, such as:

(x)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
(x)Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
(x)War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
(x)Shadowy/Gloomy/Foreboding
(x)Isolation
()Strange/Unknown setting
(x)Filthy
()Bright
()Clean
(xxx)Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
(x)Tornado
()Lightening
()Losing a Job/Being Fired
(x)Injury/Pain (both to self and others)
(x)Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
()Not being liked
()Being made fun of
()Disappointing others
()Being ignored
()Being the “real” you
(x)Other (specify): Not being the real me


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
(x)Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

(x)Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
(x)Change
()Making a decision
(xxx)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:Clowns.Mann those are really scary.....And Blood! aghhh i can't look at somebody bleed even if it's just a paper cut and although it is kind of mentioned above I can't stand messes I won't go anywhere near really dirty things!It freaks me out when people can't be organized

Gender: Female.
Age: Seventeen.


I have a fear of places, such as:

()School
()Church
(x)Crowds
()Planes
(x)Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(x)Sharks
()Sting Rays
()Bears
()Insects
()Arachnids
(x)Other (specify): I have no idea what a leech counts as, but I don't like 'em.


I have fear of objects, such as:

(x)Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(x)Kidnappers
(x)Murderers
(x)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(x)Nuclear Holocaust
(x)War
(x)Rape
(x)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
(x)Filthy
()Bright
()Clean
()Unorganized
(x)Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
(x)Getting ill
(x)Being lost
()Running away
(x)Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
(x)Losing a Job/Being Fired
()Injury/Pain (both to self and others)
()Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(x)Rejections
(x)Disapproval
(x)Not being liked
(x)Being made fun of
(x)Disappointing others
()Being ignored
(x)Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(x)Failure
()Success
()Making a mistake
(x)Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(x)Getting nervous in front of others
(x)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(x)“Not being good enough”
()Being unstable/crazy
(x)Being pressured
(x)Explaining your behavior
(x)Being exposed for your weaknesses/failures
(x)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
(x)Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Male
Age:15


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
()Other (specify):


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
()Insects
(x)Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
(x)Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
()Kidnappers
()Murderers
()Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
()Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

()Dark
()Shadowy/Gloomy/Foreboding
()Isolation
(x)Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
()Grudges
()Getting ill
()Being lost
()Running away
()Dying
()Other (specify):


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
()Injury/Pain (both to self and others)
()Death (both to self and others)
()Losing security
()Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
()Disapproval
()Not being liked
()Being made fun of
()Disappointing others
(x)Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

()Failure
()Success
()Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

(x)Taking a leadership role
(x)Getting nervous in front of others
(x)Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
()“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
()Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
()Making a decision
()Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Female
Age: 16


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
(-)Enclosed places
(-)Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
(-)Other (specify): Dark places


I have a fear of animals, such as:

()Snakes
()Rodents (ex. Rats, squirrels, hamsters)
(-)Sharks
()Sting Rays
()Bears
()Insects
(-)Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
(-)Electrical Fences
(-)High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
()Robbers/Thieves
(-)Kidnappers
(-)Murderers
(-)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

(-)Nuclear Holocaust
()War
(-)Rape
()Burglary
()Other (specify):


I have a fear of atmosphere, such as:

(-)Dark
()Shadowy/Gloomy/Foreboding
(-)Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
(-)Hating
()Grudges
()Getting ill
()Being lost
()Running away
(-)Dying
()Other (specify):


I have a fear of disasters, such as:

(-)Fire
()Hurricane
()Tornado
()Lightening
()Losing a Job/Being Fired
(-)Injury/Pain (both to self and others)
(-)Death (both to self and others)
()Losing security
(-)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

(-)Rejections
(-)Disapproval
()Not being liked
()Being made fun of
(-)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(-)Failure
()Success
(-)Making a mistake
()Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
(-)Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(-)“Not being good enough”
()Being unstable/crazy
(-)Being pressured
()Explaining your behavior
(-)Being exposed for your weaknesses/failures
()Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
(-)Change
()Making a decision
()Growing old alone
()Retirement
(-)Inactivity
()Other (specify):

State any other fear you have that is not in the above lists:

Gender: Female
Age: 28


I have a fear of places, such as:

()School
()Church
()Crowds
()Planes
()Enclosed places
()Heights (above/below ground)
()Bodies of water (ex. Oceans, pools)
(x)Other (specify): MRI machines, about the only place that I panic.


I have a fear of animals, such as:

(X)Snakes
()Rodents (ex. Rats, squirrels, hamsters)
()Sharks
()Sting Rays
()Bears
(X)Insects
(X)Arachnids
()Other (specify):


I have fear of objects, such as:

()Guns
()Knives
()Computers
()Microwaves
()Ovens
()Nails
()Electrical Fences
()High Voltage Items
()Other (specify):


I have fear of people, such as:

()Men
()Women
()Strangers
()Homo$exuals
(X)Robbers/Thieves
(X)Kidnappers
(X)Murderers
(X)Stalkers
()Making problems/troubles for others
()Feeling over-responsible
()Not doing enough for others
()Other (specify):


I have a fear of events, such as:

()Nuclear Holocaust
()War
(X)Rape
(X)Burglary
()Other (specify):


I have a fear of atmosphere, such as:

(X)Dark: Only when Alone
()Shadowy/Gloomy/Foreboding
()Isolation
()Strange/Unknown setting
()Filthy
()Bright
()Clean
()Unorganized
()Crowded
()Other (specify):


I have a fear of my family members/friends:

()Arguing
()Agreeing
()Hating
(X)Grudges
(X)Getting ill
()Being lost
()Running away
()Dying
(X)Other (specify):Loveing to Much


I have a fear of disasters, such as:

()Fire
()Hurricane
()Tornado
(X)Lightening
()Losing a Job/Being Fired
()Injury/Pain (both to self and others)
()Death (both to self and others)
(X)Losing security
(X)Losing Financial Stability
()Other (specify):


I have a fear of reactions/responses, such as:

()Rejections
(X)Disapproval
(X)Not being liked
(X)Being made fun of
(X)Disappointing others
()Being ignored
()Being the “real” you
()Other (specify):


I have a fear of results from risk taking, such as:

(X)Failure
()Success
(X)Making a mistake
(X)Being judged
()Repeating mistakes from past
()Other (specify):


I have a fear of public speaking, such as:

()Taking a leadership role
()Getting nervous in front of others
()Making a fool of yourself
()Other (specify):


I have a fear of feelings, such as:

()Feeling Guilty
(X)“Not being good enough”
()Being unstable/crazy
()Being pressured
()Explaining your behavior
(X)Being exposed for your weaknesses/failures
(X)Being useless/unwanted
()Other (specify):


I have a fear of the unknown, such as:

()New things
()Technology
()Change
(X)Making a decision
(X)Growing old alone
()Retirement
()Inactivity
()Other (specify):

State any other fear you have that is not in the above lists: Not finishioning things that I have started, Lossing the love of my daughther, Not being able to see the things I have always wanted to see, not doing the things I have always wanted to do.