Share Your Story

PHYSICAL, EMOTIONAL, AND SOCIAL CONSEQUENCES

In the following questions, we want to know if you experienced or were made to experience any physical, emotional, or social consequences because of this incident.

Did you suffer any physical consequences during or following this incident?

Did you suffer any emotional consequences during or following this incident?

Did you experience any social or economic consequences following this incident?

Please choose all that applies:

Were you subjected to any kind of violence because of this incident?

Please choose all that applies:

What did you wish you had known when this happened?

Please choose all that applies:

If you were referred to Delete Nothing by an organization/individual or if you filled this survey as staff of an organization, please mention the name of the organization/individual.

Please type “not applicable” if this question is not relevant.

If there is anything else you would like to share that has not already been covered above, please use this space to do so.

Please type “not applicable” if this question is not relevant.

How was your experience in sharing your story with us on Delete Nothing?

If you would like to share more, please leave your comments below. It will help us to continue improving Delete Nothing.

Please type “not applicable” if this question is not relevant.

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