Childhood Traumas Survey

Please select all that apply

  • Parents Excessively Criticized me growing up

  • Some one Molested or Raped me

  • Classmates excluded and made fun of me (any grade)

  • I have been excessively made fun based on my physical appearance

  • I have witnessed one of your parents of siblings being physically abused

  • I have witnessed some one being raped or murdered

  • I have trouble sleeping often

  • I have thought about suicide and specifically how to do it, in the last three months

  • Parents Physically hit me growing up After age of 12

  • None Apply to me


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noodlelover

noodlelover

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Please answer honestly to better understand and communicate with one another.

I'm putting this under success because Trauma can effect our life choices, and final destination. Sometimes making us less full filled if we don't think deeply about our values and how and why they formed.
 
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I'm a broken soul.
 
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