Thank you for your willingness to participate in a focus group!
Before we schedule you for a focus group, we would like to know more about your background in violence prevention and your experience with the Dating Matters.
This brief survey should take less than 5 minutes to complete.

Question Title

* 1. In order to protect your confidentiality, please do not give us your full name. Instead, please choose a nickname that we can use. Nickname:

Question Title

* 2. Please provide your preferred email:

Question Title

* 3. The focus groups will happen between October 24 - November 16, 2022. Will you be available during this time?

T