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?