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Thank you for attending our recent event! Your feedback will help us to
further support our community.

We value your feedback and it should take less than 2 minutes to complete the 8 questions.

You have the right to feel safe, respected and supported in your relationship. If you require support, please ring Hotline 1800RESPECT, phone number 1800 737 732 or contact Bankstown Women’s Health Centre (02) 9790 1378.

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* 1. Which category below includes your age group?

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* 2. What is your gender?

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* 3. Do you live, work or study in

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* 4. Which of the below types of domestic violence are you aware of?- select as many as applicable

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* 5. Have you or anyone you know experienced any form of domestic violence?

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* 6. If you experienced domestic violence, or someone you know, would you
report this to the police?

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* 7. What are the primary reasons for not reporting domestic violence to the
police? (this could be someone you know or yourself) – select as many as applicable

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* 8. If you experienced domestic violence, where would you go for help? - select as many as applicable

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