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The Effects of Being In A Toxic Household
Toxic can mean mentally, physically or emotionally abusing.
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Do you live in a toxic household or have you lived in a toxic household?
Yes
No
Clear selection
What type of toxic household do you live in? (If this does not apply to you please put N/A)
Mentally abusing
Physically abusing
Emotionally abusing
N/A
Does your extended family have a history of toxic behavior? (This can mean your aunts, uncles, cousins, grandparents, etc.)
Yes
No
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Do you know someone that lives in a toxic household?
Yes
No
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How old were you when you realized you were living in a toxic household? (If this does not apply to you please put N/A)
N/A
12 and below
13 - 18
18 and up
Other:
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How do you think you can help someone that is living in a toxic household?
Your answer
How can you help yourself if you are living in a toxic household?
Your answer
If you do or have lived in a toxic household, what effects has the environment caused on your mental and emotional health? (If this does not apply to you please put N/A)
N/A
Other:
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If you do or have lived in a toxic household, what effects has the environment caused on your physical health? (If this does not apply to you please put N/A)
N/A
Other:
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If you do live in a toxic household, do your friends or family know? If no, why? (If this does not apply to you please put N/A)
N/A
Other:
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If you have lived in a toxic household, do you still deal with the effects even if you have moved out?
Yes
No
N/A
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What effects do you still deal with? (If this does not apply to you please put N/A)
N/A
Other:
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How do you cope with the effects that you still deal with?
N/A
Other:
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Are you still in contact with the people that caused the household to be toxic? Why? (If this does not apply to you please put N/A)
N/A
Other:
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What is your gender?
Female
Male
Prefer not to say
Other:
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