FREE AFTER ABORTION SURVEY!

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(Listen to the instructions - click the audio button to turn off the audio)
STEP ONE: DEFINE YOUR SYMPTOMS
Record your feelings, thoughts that have impacted you since your abortion)
Disappointment
Depression
Helplessness
Grief/Loss
Fear of others finding out about the abortion
Fear of men
Distrust of men
Anger/Rage
Guilt
Fear of having a deformed child
Feelings of being victimized
Hurt
Hopelessness
Low self-worth
Regret/Sorrow
Fear of God's punishment
Distrust of doctors
Self-hatred
Self-mutilation
Fear of never being a mother
Feeling "crazy"
Fears about sex

 

Do you Feel uncomfortable with:

Infants/Children
Subsequent pregnancies
Pregnant women
Anniversary date of abortion

 

Check any Behaviors You are experiencing:

Crying
Trouble sleeping
Hallucinations
Thinking about the aborted child
Feeling the presence of the aborted child
Unable to enjoy sex
Having multiple sex partners
Longing for a baby
Inability to tell others feelings about the abortion
Reoccuring Nightmares
Trouble concentrating or making simple decisions
Flashbacks of the event
Weight gain/loss
Broken relationship with the father of the baby
Avoiding or lack of desire for sex
Overt Desire to become pregnant
Increased substance use or abuse
Fear of harming other children

 

Check any Medical Problems you have experienced:

Breast Cancer
Cervical, Ovarian, Liver Cancer
Uterine Perforation
Cervacal Laceration
Complications in later pregnancies
Placenta Previa
Fetal Malformation
Miscarriage
Excessive Bleeding during mensus
Reproductive Complications
Ectopic Pregnancy
Pelvic Inflammatory Disease
Endometritis
Chronic Abdominal Pain
Vomiting
Gastro-Intestinal Disturbances
Other complications - not shown

This concludes STEP ONE of the survey.

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