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(Questions were asked verbally without using the questionnaires while

interviewing survivors of violence)


1. Background Information:

1 .Name___________________________________________

2. Age
10-20

20-30

30-40

above 40

3. Marital Status:
Married

Unmarried

3. Occupation
Government service
Business
Student
Housewife
Others
4. According to you, What types of violence is most faced by the women
Rape
Trafficking
Domestic violence
Molestation
5. Have you faced any kind of violence
Yes
No

If YES what have you done to stop it

Called the police


Approached NGOs/women development agencies
Asked friends/family for help
Others
If NO, What would you do if you had faced such violence
Call the police
Avoid contact with the person
Ask friends/family for help
Go for Counselling
Keep it to myself

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