2 minutes
The survey template is available to those who have experienced family violence in the last 12 months.
What is your age?
What is your gender?
Do you live with a partner?
Do you have any children?
What is your employment status?
What is your education level?
What is your ethnic background?
What is your religious affiliation?
Have you ever experienced any form of family violence?
If yes, please describe the nature of the violence.
Have you ever been a perpetrator of family violence?
If yes, please describe the nature of the violence.
Do you know anyone who has been a victim or perpetrator of family violence?
What do you think are the main causes of family violence?