Domestic Violence

1. Are you a male or female?

Are you a male or female? A. Male

B. Female

2. Do you know anyone who is or has been domestically abused?

Do you know anyone who is or has been domestically abused? A.Yes

B.No

3. Have you ever witnessed someone being domestically abused?

Have you ever witnessed someone being domestically abused? A.Yes

B.No

4. If you answered yes to Question #2, did you do anything about it?

If you answered yes to Question #2, did you do anything about it? A.Yes

B. No

5. What do you think causes someone to domestically abuse another person?

What do you think causes someone to domestically abuse another person? A. Human Nature

B. The enviorment that person is brought up in

C. There is a chemical imbalance in that person's brain.

D. Depression

E. All of the above

6. What do you think the punishment of someone who domestically abuses others should be? Check as many that applies.

What do you think the punishment of someone who domestically abuses others should be? Check as many that applies. A. Fines

B. Jail time

C. Psychiatric help

7. How would you define domestic abuse?

How would you define domestic abuse?

8. Do you think domestic abuse includes mental or physical or both?

Do you think domestic abuse includes mental or physical or both? A. Mental

B. Physical

C.Both

9. What do you think you would do if you were being domestically abused?

What do you think you would do if you were being domestically abused?

10. In your opinion how many people do you think die per year due to being domestically abused?

In your opinion how many people do you think die per year due to being domestically abused?

Check out our sample surveys and create your own now!

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.