Survey for Men

Clicking YES to the permissions field will tell Pastor Ken Freeman that you wish to be contacted with a free analysis of your report.

After Abortion Survey for Men

• First Name *

• Age

• Email *

• Telephone

• Number of Abortions

  124567891010+

• FEARS

• Fear of God's Punishment

• Fear of Womeh

• Fear of Being Found Out

• Fear of Sex

• ABOUT YOUR EXPERIENCE

• Describe Your Abortion

• What Help Have You Sought Before?

• YOUR FEELINGS

• Depression

• Shame

• Rage

• Anger

• Rejection

• Hopelessness

• Insecurity

• Unforgiveness

• YOUR RELATIONSHIP

• RELATIONSHIP AFTER ABORTION

  Ended within 1 month   Ended within 3 months   Ended within 6 months   Ended within 1 year   Never Ended

• As a man...

  She is the leader of the family   I am the leader of the family

• SEXUAL RELATIONSHIP

• Addicted to porn

• Masturbate more

• My wife is cold as stone

• YOUR COMMENTS

• Describe who you see yourself as

• Describe how you want to be

• Have you been through a Recovery Process before?

  Yes   No   Don't know

• Permission to send an analysis of your results?

  YesNo

Thank you for taking our survey!

You may want to consider taking our course, FREE ME TO LIVE to further overcome your hurts.

If you wish to speak to Pastor Ken Freeman privately, call 903 926 2607 or email him through Ask Ken Freeman.com