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Power In Peer Support

Coming

Domestic Violence Survivor Survey

We value your voice and perspective. Whether you have experienced abuse or not, this short anonymous survey will help us better understand survivor needs and improve support for those rebuilding their lives.

Check all forms of domestic violence. (Check all that apply)
Have you ever experienced domestic violence?
Yes
No
If the above answer is yes, How long ago did the abuse occur? (Check all that apply)
Did you ever leave and return to your abuser? If so, how many times?
What support was most helpful to you of someone you knew? (Check all that apply)
Do you know anyone who has experience?
Yes
No

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