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Domestic Violence Questionnaire Survey

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The following questions are intended to acquire your honest opinion on the research topic of domestic violence. To adhere to the research ethics, you are not expected to indicate anywhere any personal information that can be used to identify you.

Q1. What Gender are you?

Male

Female

Transgender

Rather Not Say

Q2. What Age Bracket Do You Fit in? 12-18 Years.

12-18 Years

19-35 Years

36 And Above

Q3. Have You Ever Been Molested Physically by Someone In Your Family Or Spouse?

Yes

No

Q4. If the Answer to The Previous Question Is No, Then Have You Ever Seen Anyone Close to You Be Beaten Brutally by A Member of Their Family or Their Spouse?

Yes

No

Q5. Are You Aware of The Topic of Domestic Violence?

Yes

No

Not Sure

Q6. What Actions Would You Say Define Domestic Violence? (Answer in The Blank Space Below).

_______________________________________________________________

Q7. Between Physical and Emotional Torture, Which Among The Two Would You Say Is Most Likely To Be Suffered By A Domestic Violence Victim.

Physical

Emotional

Both

Not Sure

Q8. If You Answered Emotional Torture in Question 5 Above, What Other Psychological Traumatic Symptoms Did You Suffer? (Answer in The Blank Space Below)

_______________________________________________________________

Q9. How Does Domestic Violence Affect Young Adults and Children Above Five Years?

_______________________________________________________________

Q10. Where Is Domestic Violence Mostly Experienced More Among The Following Social Classes?

Upper Class

Middle Class

Low Class

Q11. Why Do You Think the Social Class You Selected Above Is More Likely to Have Lots of Domestic Violence Cases? (Answer in The Blank Space Below)

_______________________________________________________________

Q12. Identify the Following as A Contributor to Domestic Violence Behavior.

Culture

Perpetrator’s Personality

Peer Pressure

None of The Above

Q13. Should Domestic Violence Be Considered an Illegal Criminal Activity?

Yes

No

Not Sure

Q14. Do You Think Domestic Violence Can Be Prevented?

Yes

No

Not Sure

Q15. If Your Answer Was Yes, Kindly State What Means Could Be Used to Prevent Domestic Violence from Occurring. (Answer in The Blank Space Below)

_______________________________________________________________

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