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Deaf Survivors Survey
A confidential survey to determine
most common types of abuse and solutions
for recovery and prevention
What type of abuse did you experience? Choose all answers that apply
Domestic Violence
Child Abuse
Child Sexual Abuse
Incest
Rape
Sexual Harassment
Emotional or Verbal Abuse
Physical Abuse
Ritual Abuse
Neglect
Other
Who was the perpetrator?
Parent
Step Parent
Relative
Other Authority Figure
Spouse or Lover
Stranger
Acquaintance
Care Giver
The perpetrator was Hearing
The perpetrator was Deaf
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