Hello, my name is Aria. None of the info you give will be seen by anyone other then me, so don't worry and please be open. What is your name?
Do or Have your parents fought?
Yes
No
If so how regularly do they fight?
Everyday
Almost everyday
Once a week
Every few weeks
Very rarely
None
Do you have a sibling/siblings ?
Yes
No
Who do feel starts the fights?
Mother
Father
Sibling
Friends/ Family Friends
Other Family Members
There Is No Fighting
Multiple
Do you suffer from any listed below? (multiple choice)
Deppresion
Anxiety
Paranoia
Schizophrenia
Bipolar
Personality Disorder
Suicidal
Other
None
Are you Introverted or Extroverted
Introvert (outgoing)
Extrovert (shy)
Tell me anything I haven't asked that you'd like to adress.
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