Domestic Violence Experiences and Awareness Survey

This survey seeks to understand experiences, awareness, and perceptions related to domestic violence. Your responses will remain confidential and help inform support resources and policy improvements.

Have you or someone you know experienced domestic violence?*

This question helps us assess the prevalence of domestic violence among participants and their social circles.

What forms of domestic violence are you aware of?*

Please indicate all types of domestic violence you are familiar with.

Who do you believe is most at risk of experiencing domestic violence in your community?

Your perspective helps identify demographic groups that may be more vulnerable in your area.

On a scale from 1 (Not aware at all) to 5 (Very aware), how familiar are you with the signs of domestic violence?*

This helps gauge public awareness surrounding domestic violence warning signs.

From Least to Most

Where do you think victims of domestic violence can seek help in your community?

Please select all sources that you consider accessible or effective.

What barriers do you believe prevent victims from seeking help?*

Identifying these barriers can guide improvements to support systems.

If you or someone you know needed help with a domestic violence situation, how comfortable would you feel reaching out for support?

Understanding comfort levels aids in identifying community trust and access issues.

From Very uncomfortable to Very comfortable

In your opinion, what could be done to better prevent or address domestic violence in your community?*

Share your thoughts and suggestions for improvement.

Is there anything else you would like to share regarding domestic violence or support resources?

Use this space for any additional comments or personal experiences you’d like to provide.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.