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What is your gender?
 
Female
 
Male
 
Non-specific
 
Prefer not to disclose
 
 
 
What is your age?
 
17-22
 
23-28
 
29-34
 
Over 34
 
 
How prevalent do you believe domestic violence is in your local community?
Highly prevalent Somewhat prevalent Unsure Not very prevalent It is not an issue at all
Please rank:
-
 
 
 
Have you or someone you know personally ever experienced domestic violence?
 
I have experienced domestic violence
 
Someone I know personally has experienced domestic violence
 
Neither myself or someone I know has experienced domestic violence
 
I'm not sure
 
 
I believe that domestic violence occurs when a family member is seeking power and control over another member/s of the family:
Strongly agree Agree Neutral Disagree Strongly disagree
Please rank
-
 
 

Refer to this case scenario to answer question number 6:


 

‘Karen is a Christian-born woman. However since marrying John 15 years ago Karen has lost touch with her religion, as John does not want their children to grow up in a religious household. Karen had recently decided to visit a local church group on her own to connect with fellow Christians in her area. Upon returning home from church, John asked Karen where she had been, when Karen informed John she had been at Church, John laughed and replied “you’re still a Jesus freak hey? Old habits die hard” and continued watching television. John often makes jokes like this toward Karen, who feels a little upset but understands that this is just who John is and she should accept it.’



To what extent do you believe Karen is experiencing domestic violence?


Strongly agree Agree Neutral Disagree Strongly disagree
Please rank:
-
 
 
How often do you feel as though you hear of domestic violence cases in the media?
Always Sometimes Not sure Rarely Never
Please rank:
-
 
 
 
Which of the following do you feel contributes to domestic violence in Australia (Select all that apply)?
 
Drug and alcohol use
 
Being of low socioeconomic status
 
A lack of partner intimacy
 
Jealousy
 
Mental health issues
 
Other
 

 
 
To what extent do you agree with this statement: domestic violence only effects women?
Strongly agree Agree Neutral Disagree Strongly disagree
Please rank:
-
 
 
 
Using just one sentence, describe one way domestic violence may be prevented in Australia: