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QUESTIONAIRE ABOUT WOMEN ABUSE:

Name:___________________________________ Age:_______
Address:________________________________ Con. No,______________

Reminder: We created this questions for women who have experienced/experiencing


Severe abuse so kindly please cooperate in order to prevent this kind of
wrongdoing,
THANK YOU!.

Direction: Write your answer below the question.

1. Have you ever been abuse ?

2. What kind of abuse do you experienced? It is sexual abuse?

3. Do you experience abuse in your family?

4. Does any of your family member uses drugs? If yes , then who?

5. Which one of your family member abuse you?

6. Why that family member of yours abuse you , tell the reason why?

7. Did you tell already to the barangay officers about your situation?

8. Why you didn’t tell ? did they threat you?

9. Do you have any kind of wounds or injuries?

10. How old are you when you first abused?

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