Social Media Victims Claim

Social Media Query

Has your child suffered from social media addiction?(Required)

Yes

No

Unsure

Did your child suffer from any of the following after using social media? (Select all that apply)(Required)

Eating Disorder

Body Dysmorphia

Severe Depression

Severe Anxiety

Attempted Suicide

Committed Suicide

Victimized by Sexual Extortion Scheme

Child Sexual Abuse Material Created on Social Media

Child Sexual Abuse Material Distributed on Social Media

Other

How old was your child when this occurred?(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

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