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* 1. Do you have any irrational fears?

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* 2. Please describe your fear.

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* 3. What about this fear scares you?

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* 4. Do you know what caused this fear?

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* 5. Do you know of others who share this fear?

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* 6. What would you count as irrational?

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* 7. Do any of the following scare you?

  Yes No Sort of
Spiders
Hights
Numbers
The Dark
Orange Glass
Cotton Wool
Pigeons
Raw meat

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* 8. Any other thoughts on Irrational Fears?

T