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Fatherhood and Loss: Paternal Grief Among Fathers Following Child Gun Violence

Thank you for taking the time to learn about this project. This short survey takes about 5–10 minutes to complete.

We are a project team working to better understand the experiences of fathers who have lost a child to gun violence.

Before we begin, we want you to know:
  • This survey is completely voluntary. You can stop at any time.
  • There are no right or wrong answers.
  • Your responses are confidential. No identifying information will be shared.
  • Some questions may bring up difficult feelings. Please take care of yourself as you go, and know that support resources are listed at the end of this survey.
1.Are you 18 years of age or older?(Required.)
2.How old are you?(Required.)
3.How do you describe your racial or ethnic identity? (Select all that apply)(Required.)
4.Where do you currently live? (City and state)(Required.)
5.This project is open to fathers who have lost a child to gun violence. This includes biological fathers, stepfathers, adoptive fathers, father figures, and others who identify as fathers. Does that reflect your experience?(Required.)
6.Are you currently involved in a intimate partner relationship with the mother of this child?(Required.)
7.How many children are part of your family, including those who have passed away? This includes children you have raised or cared for, whether biological, adopted, or chosen.(Required.)
If you are open to learning more or being contacted by our team, you are welcome to share your contact information below. If you are selected, a member of our team will reach out to tell you more and answer any questions you may have. Sharing your contact information is completely optional. It does not commit you to anything.
8.First name(Required.)
9.Last Name(Required.)
10.Email address(Required.)
11.Phone number (optional)
12.What is your preferred language?(Required.)
13.What is your preferred way to be contacted?(Required.)
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