* 1. Are you a male or female?

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

* 3. Have you ever witnessed someone being domestically abused?

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

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

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

* 7. How would you define domestic abuse?

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

* 9. 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?

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