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1.What gender are you?
 
Male
 
Female
 
 
 
2. How old are you?
 
18-20
 
20-25
 
25-30
 
35-40
 
45 and older
 
 
 
3. Which ethnic group do you belong to?
 
Hispanic/Latino
 
Chinese
 
American Indian
 
I prefer not to answer
 
 
 
4.Have you ever been in any form abused by your spouse or partner?
 
Yes
 
No
 
 
 
5.Was this abuse reported to Law Enforcement?
 
Yes
 
No
 
 
 
6.Are you aware of all the programs that are out there for abused victims in United States?
 
Yes
 
No
 
 
 
7.Did you wish you had gotten out of it sooner?
 
Yes
 
No
 
 
 
8.Do you feel sad that you wasted so much energy and time ?
 
Yes
 
No
 
 
 
9. If you knew spouse was abusitive (physically,mentally,verbally)would you still have married him or her?
 
Yes
 
No
 
 
 
10.Do people try to make you feel bad about saying and trying,not geeting out sooner?
 
Yes
 
No
 
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