Fear in the brain
Global anxiety
Fighting fear
First Name
Last Name
Do you live in a Rural, Urban or Coastal area?
Location...
Rural
Urban
Coastal
Age group
Age...
Under 10
10 - 15
16 - 25
26 - 45
46 - 60
61+
Sex
----
Male
Female
Level of Education
Education Level...
Primary School
Secondary School
University
Uni drop-out
Post-doctorate
State
---
NSW
QLD
VIC
SA
TAS
WA
ACT
NT
Email Address
Do you identify with having a religion?
Yes
No
Do you or anyone in your immediate family suffer from anxiety or phobias?
Yes
No
Do you regularly... ?
Exercise (at least 30 minute walk 3 times a week)
Have trouble sleeping
Meditate, do yoga or Tai Chi
Eat junk food (be honest!)
Eat processed foods, such as white bread, chips
Smoke
Drink coffee/tea/energy drinks
Watch scary videos
Watch the news
Drink moderate amounts of alcohol (one-two standard drinks a day)
Drink alcohol heavily (more than two standard drinks a day)
Take prescription drugs
Take other drugs
Own a pet (dog, cat, fish, bird, ferret etc)
Regularly take part in extreme sports such as bungee jumping, skydiving or white water rafting
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