Experience of Relationships Survey

Phoenix DAS is an award winning, innovative charity able to work with all members of a family affected by domestic abuse providing a person centered, restorative approach which is truly victim led.

By completing and sharing this short survey you will be helping Phoenix DAS to improve the services available to families affected by domestic abuse. We are looking for all experiences of relationships healthy or unhealthy. 

This survey is completely confidential and the data collected will be used for research purposes only. 

If you would like further information or support please contact Phoenix DAS on 01495 291202 or https://phoenixdas.co.uk/ or call the Live Fear Free Helpline on 0808 8010 800

Thank you in anticipation of your support. 


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* 1. Please select your age category

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* 2. What is your gender?

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* 3. Town or city you live in

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* 4. Have you ever been a victim of domestic abuse in your own relationship?

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* 5. If yes, please answer the following questions:

How old were you when the relationship started?

How long were you in this relationship?

(If you've experienced more than one abusive relationship, please list all).

Example: 17 years old lasted 3 years & 21 years old lasted 4 years

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* 6. Are you currently in an intimate relationship?

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* 7. If yes, do you consider this relationship to be abusive? 

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* 8. If you have been a victim of domestic abuse did you seek support from any of the following?

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* 9. Did you have a consistent and positive male role model growing up? (Please tick all that apply) 

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* 10. As a child (Under 18) did you witness domestic abuse?

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