• Domestic Conflict Wellbeing Survey Form

    Please complete this confidential survey to help us understand your current wellbeing. All responses are anonymous and used for assessment purposes only.
  • How often have you felt stressed due to conflict at home in the past month?*
  • In the past month, how often have you had access to resources or support when needed?*
  • How would you describe your emotional state most days?*
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  • Have you ever sought professional help or counseling for domestic conflict?*
  • What are the main sources of support you rely on? (Select all that apply)*
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