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* 1. What is your age group?

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* 2. How do you identify your gender?

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* 3. What is your current socio-economic status?

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* 4. Which of the following best describes your ethnicity?

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* 5. How do you identify regarding your ability?

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* 6. Which country are you participating from?

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* 7. What government/public programs and/or services for women and girls have you used/accessed in the last 3-6 months?

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* 8. How frequently do you use public programs and response services available to women and girls?

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* 9. How accessible do you find public programs and response services for women and girls?

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* 10. How satisfied are you with the quality of public programs and response services for women and girls you have received in the last 6-12 months?

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* 11. To what extent do you believe improvements are necessary to enhance the responsiveness of these programs and services for women and girls

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* 12. How much has your life improved as a result of a public program or response service for women and girls?

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* 13. Are there any programs or services you believe should be offered but currently are not?

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* 14. How would you rate your overall quality of life?

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* 15. Is there any other feedback you would like to share on government/public programs or services?

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* 16. What is your mobile number?

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* 17. Who is your mobile service provider?

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