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* 1. This survey is completely anonymous, the purpose of which is to shed light on marital abuse in Egypt, help women identify early warning signs, know that this is not the average marriage parameters, and know how to take action. Thank you for your help.

What is your gender?

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* 2. Are you and your spouse Egyptians?

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* 3. What is your marital status?

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* 4. What is your age bracket?

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* 5. Were you or someone close to you subject to emotional abuse?

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* 6. Was it emotional, physical, or both?
Emotional: Repeated negative comments on worth of partner, insults, or intentional public embarrassment.
Physical: Any form of anger related physical interaction; i.e grabbing, shoving, beating.

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* 7. Please explain your story. It can be as brief or as elaborate as you desire.

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* 8. Were there early warning signs?

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* 9. If the victim is someone other than yourself, how did you react?

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* 10. If you are the abused victim, how did you react?

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