1) What is your age? 26
2) What is your location? Sask. Canada
3) What is your occupation? Janitor
4) What is your education level? High School
5) Have you ever had any kind of romantic and/or sexual relationships with anybody? No
6) In addition to love shyness, do you have any other phobias or anxieties? No
7) Have you received any services of psychologists, psychotherapists or psychiatrists? No
8) If yes, were they any helpful?
9) Are you a virgin? Yes
10) Do you see yourself as different from other people? Yes
11) Do you see yourself deficient in comparison to other people? Yes
12) Do you experience shyness or anxiety in non-romantic situations? Yes
13) How concerned are you about your love shyness? There is no hope for me
14) When did you realize you were love shy? Puberty
15) Do you tell other people about your love shyness? No
16) What do you think, is societies attitude towards love shy people? Dog eat dog
17) Do you think your area is better, about the same, or worse place to live for love-shies, compared to other places? Pointless question
18) Are you satisfied with your career and financial situation? I scrub toilets
19) Do you think you could achieve more in your career if you weren't a love shy? Yes
20) What kind of work would you like to do? Medicine
21) If you received college or university degree, what was your major?
22) Were you a good student? Yes
23) Do you consider yourself an intellectual? Yes
24) How healthy are you? No problems
25) Do you have any disabilities?
26) Do you smoke, drink alcohol, or consume any kinds of drugs? If yes, specify. No
27) Are you religious? If yes, do you regularly attend your place of worship? No
28) What are your hobbies and interests? Musical instruments
29) Do you play any sports? If yes, which ones? No
30) What kind of music do you like? Classic rock, blues
31) What kind of movies do you like to watch? Horror
32) Do you watch TV? If yes, which programs? No
33) How many friends do you have? None
34) How much do you interact in person with your friends?
35) Do you use social network websites, such as Facebook and Twitter? If yes, how much do you interact with people there? No
36) Have you ever used any kinds of dating services? If yes, which ones? No
37) What are your political views? No comment
38) Do you think you belong to any sort of minority in your area? If yes, which one? No
39) Are you heterosexual? I think so
40) What is your attitude towards homosexuality? Dont care
41) If you are straight, have you ever been perceived as gay? Yes
42) Have you been bullied or in any way intimidated in school or other public places? Yes
43) Have you ever experienced hostile treatment because of your love shyness? Maybe
44) Have you been abused by your parents or other relatives? Not overly
45) Do you have siblings? If yes, indicate if it's your brothers or sisters, and what is their age difference with you? None
46) Do you personally know any love-shy people? No
47) Would you be interested to meet other love-shies? No
48) Are you actively working in trying to improve your life? No
49) Are you more optimistic or pessimistic towards your future? There is no hope.
50) Do you have a good sense of humor? No
51) Do you have any animals at home? No
52) Do you watch porn? That was a random insertion
53) Do you get angered quickly? Yes
54) What, do you think, is the reason of your love-shyness? God
55) And finally, do you have anything else to say that wasn't covered in this questionnaire?
There you go.