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IN OUR BACKYARD App Questionnaire
TWO QUESTIONS WE WANT TO KNOW AS WE CREATE A CULTURE EMPOWERED TO LIVE IN FREEDOM!
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* Indicates required question
Email
*
Your email
What is your age?
18-23
24-29
30+
Clear selection
Gender Identity
Female
Male
Other
Transgender
Non-binary
Clear selection
Have you ever felt unsafe at a Club, Pub, Sports Venue, restaurant, or gas station/convenience store?
*
Yes
No
Where did you feel unsafe?
Restroom
General Area
Parking lot
Dance floor
Bar area
Other
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