Post-Betrayal Support Survey
Help us understand your experience and support needs after betrayal. Your responses are confidential and will assist us in improving support services.
Your Age
*
Gender
*
Female
Male
Prefer not to say
Non-binary/Other
How long has it been since the betrayal occurred?
*
Please Select
Less than 1 month
1-3 months
3-6 months
6-12 months
More than 1 year
Which best describes the type of betrayal you experienced?
*
Friendship betrayal
Romantic betrayal
Family betrayal
Workplace betrayal
Other
Please rate the intensity of the following feelings you have experienced since the betrayal.
*
Rows
Not at all
Slightly
Moderately
Very
Extremely
Sadness
1
2
3
4
5
Anger
6
7
8
9
10
Anxiety
11
12
13
14
15
Loneliness
16
17
18
19
20
Distrust
21
22
23
24
25
How supported do you feel by the following people/groups?
*
Rows
Not at all supported
Somewhat supported
Moderately supported
Very supported
Extremely supported
Friends
26
27
28
29
30
Family
31
32
33
34
35
Support groups
36
37
38
39
40
Mental health professionals
41
42
43
44
45
Online communities
46
47
48
49
50
Which coping strategies have you used since the betrayal? (Select all that apply)
*
Talking to friends or family
Seeking professional help
Journaling or writing
Physical activity/exercise
Meditation or mindfulness
Online forums/support groups
Other
How would you rate your current overall well-being?
*
Very poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Very poor, 10 is Excellent
What additional support or resources would be most helpful to you at this time?
Submit Survey
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