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* 1. Because this survey is about our deepest darkest shame and secrets, it is completely anonymous. Absolutely no personal information is being gathered about you - only your responses to these questions - not even the I.P. address of your computer.

My hope is this freedom will enable you to unload your shame and allow others to see they are not alone. Please come up with a nickname to hide your identity in the event I read your responses on the show. If you are feeling suicidal PLEASE call the Suicide Prevention Hotline 800-273-8255.

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* 2. What gender are you? 

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* 3. Have you ever been the victim of sexual abuse?

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* 4. Have you ever been physically or emotionally abused? If you're comfortable sharing, what happened?

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* 5. If you have been abused are there positive experiences with the abuser(s) and does that complicate your feelings about them or what happened?

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* 6. What are your deepest darkest thoughts? Not things you would act on, but things you are ashamed to admit you think about.

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* 7. What are your deepest darkest secrets (things you have done or things that have happened to you)?

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* 8. Are you gay, straight, bisexual or asexual (not interested in either sex)?

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* 9. How old are you?

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* 10. What best describes the environment you were raised in?

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