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PARTNER RAPE
IS

REAL RAPE


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RESEARCH REQUESTS INPUT FORM

If you are researching intimate partner sexual assault, rape, domestic violence, trauma or other related field for a study, book, thesis or other and you would like the input of survivors, please place your research request in the form below. Please give as much information as relevant.


Name
Focus of Research (to be elaborated below):
Do you have the backing of an organization? Yes No Not Relevant
Name of Organization
Link to Organization:
All about the research
Can respondents be anonymous? Yes No Up to Respondent
In what country is the research based?
Do you need respondents from a specific geographical location (please elaborate):
Are you looking for a specific age group? (specify age group or just say "any")
Are you looking for a specific context of IPSV - for example, marital rape, teen relationships, male-on-female or same-sex assault? If so, please elaborate:
How is information to be gathered? Questionnaire / Survey
Face-to-Face Interview
Telephone Interview
Email Correspondence
What type of questions will respondents be asked (general elaboration):
Link to Questionnaire for Viewing and/or Download:
Specific instructions for Respondents?
What is the latest date you need respondents by?
E-mail address that respondents should contact you at:
Any final relevant information?


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