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* 1. What age category are you in?

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* 2. What are 3 forms of abuse?

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* 3. If a person is high on drugs or intoxicated by alcohol can there be clear consent given?

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* 4. Is it appropriate for you partner to coerce you into sexual activity?

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* 5. What type of relationship is it if a partner repeatedly and/or intentionally isolates you from friends and family?

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* 6. Communication is important in a healthy relationship. 

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* 7. If you would like to be entered into the drawing for a gift card, please leave your contact information below!

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