Share your story part two - Delete Nothing

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Share Your Story

Demographic information

In the following questions, ‘you’ refers to the person who experienced the incident. We want to find out where and to whom tech-related violence happens in Sri Lanka.

Have you submitted information about this particular case to Delete Nothing before?

Yes, my Reference Number is

No, this is my first time

Can’t remember

How old are you?

What is your ethnicity?

Where do you live (District)?

What is your gender?

Please choose all that applies:

Cis girl/woman
(girls/women who identify with the same gender as that assigned to them at birth)

Cis boy/man
(boys/men who identify with the same gender as that assigned to them at birth)

Trans girl/woman
(individuals assigned male at birth who are actually women)

Trans boy/man
(individuals assigned female at birth who are actually men.)

Non-binary
(A gender identity label used by some people who do not identify with the binary of man/woman)

Prefer not to say

Prefer to self-describe

Please check at least one checkbox!

What is your sexual orientation?

Please choose all that applies:

Heterosexual/straight
(attracted to members of the other gender/sex)

Gay
(attracted only or mostly to those of the same gender/sex)

Lesbian
(women who are attracted mostly or only to other women)

Bisexual
(attracted to more than one gender (men, women, non-binary, etc))

Pansexual
(attracted to people regardless of their gender)

Prefer not to say

Prefer to self-describe

Please check at least one checkbox!

Are you disabled?

Yes

Prefer not to say

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