Violence Questionnaire
 

1. Demographics

 
Your answers to this survey will be kept confidential. This means that any identifying information will not be collected or stored with the data. You are not required to answer every question, but your co-operation with completing this survey is greatly appreciated.

*
1. Do you identify as male or female?

2. Please indicate your age.

3. What is your affiliation with the University of Manitoba?

4. Do you live in residence at the University of Manitoba?

5. On which campus do you attend classes? (Check all that apply)

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