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Sexual Abuse Questionnaire

How often do you feel depressed?
Always
Sometimes
Never
How often do you feel alone?
Always
Sometimes
Never
Do you have trouble sleeping?
Always
Sometimes
Never
How often do you have nightmares?
Always
Sometimes
Never
How often do you get angry?
Always
Sometimes
Never
Do you have trouble showing affection?
Yes
No
Do you become nervous around people?
Yes
No
When you think of anger what word do you associate with it?
Love
Pain
Fear
None of the above
Do you have trouble recalling certain periods in your past?
Always
Sometimes
Never
Are you afraid of disappointing others because you fear how they will react?
Yes
No
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