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1. Please specify your gender.
Male
Female
2. Please specify your age. (Optional)
Under 15
Under 25
Under 35
Under 45
Other
3. When you see a spider close to you, you will
Run
Screaming
Kill it
Faint
4. The first time you find yourself afraid of the spider
When I am a child
When I see somebody be bite by spider
When I watch a scary movie about spider
When somebody tell me spider will bite me
5. Did you really hurt by the spider?
Yes
No
Can't Say
6. Will you change the channel, when you watch TV and see a spider scene?
Yes
No
Can't Say
7. Your feeling of spider is
Disgusting
Fear
Hostile
Other
8. Do your friends and family understand your feelings about spider?
Yes
No
Can't Say
9. Do you turn to a doctor for this kind of trouble?
Yes
No
Can't Say
10. If through a short treatment can make you no longer afraid of spiders, will you attend?
Yes
No
Can't Say
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