Gender: M Situation

F

Age:

Occupation: Would you Intervene?

NUMBER_________________ What Circumstances would influence your decision? (May continue on back). Maybe

1. You see a woman or man sitting on a park bench looking lonely.

Yes

No

In Need of Help

2. You see a woman or man sitting on a park bench crying.

Yes

No

Maybe

3. You see a woman or a man lying on the street.

Yes

No

Maybe

1. You see a parent scolding his/her child.

Yes

No

Maybe

Child Punishment

2. You see a parent slapping his/her child across the face.

Yes

No

Maybe

3. You see a parent spanking his/her child. 1. You see a man and a woman having a heated argument.

Yes

No

Maybe

Yes

No

Maybe

Altercations

2. You see a man or a woman slapping his/her partner across the face.

Yes

No

Maybe

3. You see two men fighting in a bar.

Yes

No

Maybe

Altercations 3. 2. 1.

Child Punishment 3. 2. 1. 3.

In Need of Help 2. 1.

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