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Please answer the following questions regarding your knowledge of domestic violence:
Not at all knowledgeable A little knowledgeable Somewhat knowledgeable Average knowledge Very knowledgeable
1. How knowledgeable are you about what domestic violence is?
2. How knowledgeable are you about what is considered as physical abuse?
3. How knowledgeable are you about what is considered as physical use of objects as abuse?
4. How knowledgeable are you about what is considered as use of size or presence as abuse?
5. How knowledgeable are you about what is considered as verbal abuse?
6. How knowledgeable are you about what is considered as emotional abuse?
7. How knowledgeable are you about what is considered as sexual abuse?
8. How knowledgeable are you about what is considered as psychological abuse?
9. How knowledgeable are you about what is considered as mutual abuse?
 
 
 
 
   
 
 
Please answer the following questions regarding your knowledge of personal and legal rights:
Not at all knowledgeable A little knowledgeable Somewhat knowledgeable Average knowledge Very knowledgeable
1. How knowledgeable are you about your right to privacy?
2. How knowledgeable are you about your right to be reasonably protected from the accused offender?
3. How knowledgeable are you about your right to confer with a attorney?
4. How knowledgeable are you about your right to available restitution?
5. How knowledgeable are you about your right to be treated with respect?
6. How knowledgeable are you about your right to obtain a restraining order?
7. How knowledgeable are you about your right to live free from bodily harm?
8. How knowledgeable are you about your right to change your mind or decide on a different course of action?
9. How knowledgeable are you about your right to information about conviction, sentencing, imprisonment, and release of the offender?
 
 
Please answer the following questions regarding your knowledge of available resources:
Not at all knowledgeable A little knowledgeable Somewhat knowledgeable Average knowledge Very knowledgeable
1. How knowledgeable are you about resources available through military programs?
2. How knowledgeable are you about resources available through civilian programs?
3. How knowledgeable are you about local counseling services?
4. How knowledgeable are you about where to go to get medical attention?
5. How knowledgeable are you about Fort Polk's 24-hour help line?
6. How knowledgeable are you about where local shelters are located?
7. How knowledgeable are you about legal services available through JAG?
8. How knowledgeable are you about the Transitional Compensation Program?
9. How knowledgeable are you about how to contact programs for resources?
 
 
Please answer your level of agreement regarding the following statements:
Strongly Disagree Disagree Neutral Agree Strongly Agree
1. You have decision making power on your own
2. You have access to information and resources to enable you to make proper informed decisions for yourself
3. You have a positive self image
4. You have control over what happens in your life
5. You have a person of support
6. You feel safe
7. You can make mistakes
8. You can say no
9. With the proper use of choices you can change your life