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CSA survivor survey

Anonymous form. No login, no IP tracking, aggregate results only. Results will be shared on my Substack and TikTok once enough responses come in. The form is long on purpose. Survivor experience is more comprehensive than what gets talked about. Check anything that resonates, even if you're not sure it's "from" the abuse. If you check something here, you're not alone in it, even if you've never said it out loud. Checking an item doesn't mean it's "caused by" abuse. Many of these patterns also occur in people who weren't abused. This form is for survivors who notice a link in themselves. You are the only one who can know what's connected to your story.

⚠️ Content note: names specific experiences including intrusive thoughts, body shame, and sexual patterns. If this feels like too much today, take care of yourself first. RAINN: 1-800-656-HOPE.

[body & physical health] Which body or physical health experiences have you had?

[body & physical health] Which body or physical health experiences have you had?
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[Sleep] Which sleep experiences have you had?

[Sleep] Which sleep experiences have you had?
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F

[Appearance, body & being seen] Which of the following apply to you?

[Appearance, body & being seen] Which of the following apply to you?
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[Mind, dissociation & parts] Which of these experiences apply to you?

[Mind, dissociation & parts] Which of these experiences apply to you?
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[Reality, time & memory] Which of these apply to you?

[Reality, time & memory] Which of these apply to you?
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[Safety & hypervigilance] Which of these apply to you?

[Safety & hypervigilance] Which of these apply to you?
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[Anxiety, panic & nervous system] Which of these apply to you?

[Anxiety, panic & nervous system] Which of these apply to you?
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[Relationships & connection] Which of these apply to you?

[Relationships & connection] Which of these apply to you?
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[Parenting] Which of these apply to you?

[Parenting] Which of these apply to you?
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N
The arousal patterns in the section below are common among survivors and do not reflect who you are or what you want in real life. Naming them is part of how we make them less shameful. Check whatever applies — there's no "right" version of this.

[Sex & intimacy] Which of these apply to you?

[Sex & intimacy] Which of these apply to you?
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[Agency, power & voice] Which of these apply to you?

[Agency, power & voice] Which of these apply to you?
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[Self-perception & inner life] Which of these apply to you?

[Self-perception & inner life] Which of these apply to you?
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[Intrusive thoughts] Which of these apply to you?

[Intrusive thoughts] Which of these apply to you?
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[Coping] Which of these apply to you?

[Coping] Which of these apply to you?
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[Revictimization] Which of these apply to you?

[Revictimization] Which of these apply to you?
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[Disclosure & being unheard] Which of these apply to you?

[Disclosure & being unheard] Which of these apply to you?
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[Medical & therapy] Which of these apply to you?

[Medical & therapy] Which of these apply to you?
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Is there something you've never told anyone that you suspect is connected to the abuse? You can share it here anonymously, or just know that whatever it is, you're probably not the only one.

Below are optional questions to help us understand your experience better.

Your current age range

Your current age range
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G

Gender

Gender
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Age(s) abuse occurred

Age(s) abuse occurred
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Relationship to perpetrator(s)

Relationship to perpetrator(s)
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Gender of perpetrator(s)

Gender of perpetrator(s)
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F