Exit this survey
February is Teen Dating Violence Awareness Month – and JWI is asking students all over the world to share their thoughts and experiences with dating relationships, both good and bad.

Please take a moment to complete this anonymous survey. Feel free to describe any of your experiences in answer to the questions below. And if you’d like to share more than the survey space allows, please e-mail dcantor@jwi.org, and include your age and gender. Your name and personal details will never be used.

Dating abuse is one of the most talked-about issues today, and your voice is critical to the discussion. Thank you for speaking out!

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* 1. Have you or someone you know been abused – or been an abuser – in a romantic relationship? Please share your story (or stories).

Examples:
•repeated name-calling, such as ‘slut,’ ‘ugly,’ ‘fat’ or ‘stupid’
•devaluing someone’s opinions
•extreme jealousy and possessiveness
•calling and/or texting someone excessively throughout the day, and requiring that s/he ‘check in’
•publicly showing or posting private photos
•intimidation with humiliation or threats of violence
•demanding that someone do things to earn a partner’s love
•controlling how someone dresses, what s/he says and who s/he hangs out with
•taking someone away from activities and people that s/he used to enjoy
•ridiculing or dismissing someone’s feelings and concerns, so s/he becomes afraid to talk openly about them
•grabbing, smacking, shoving, punching or forcing someone to have sex

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* 2. What’s your definition of an unhealthy relationship?

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* 3. How do you use technology in your dating relationships? (texting, social network sites, e-mail, etc.) Has technology ever led to controlling behavior in a relationship in which you or your friends have been involved?

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* 4. Every relationship has a public face and a private one: What about your dating life is or has been invisible to your family?

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* 5. What advice would you give to your 13-year-old self about dating – such as the difference between healthy and unhealthy behaviors, and how to protect your self-esteem in difficult and confusing situations?

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* 6. Gender

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* 7. Age

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