Your Voice Matters 報告フォーム Report form (presented by ぺるしぇ)
こちらは任意団体ぺるしぇのプロジェクト Your Voice Mattersで提供する性被害レポート記入フォームです。性被害に遭われた方や、その周りの方が匿名で被害を報告することができます。報告頂いた内容は、弊団体サイトに掲載し、社会へ発信し、性暴力の見える化へ繋げます。あなたの声がとても重要な一歩となります。もしご意見や質問などございましたら、kanri@le-perche.jp までお問い合わせください。This is a form to report your experience of sexual violence, provided by La Perché, a voluntary organisation in Japan. It allows you to report the incident anonymously and we'll post what you wrote here on our website to inform society about the incident and visualise the reality of sexual violence. You can also report experience of somebody around you on behalf of them.Your voice will be a very important step. If you have any concerns or questions about this form, please email kanri@le-perche.jp
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次頁以降の質問の回答内容が、弊団体ウェブサイトに記載されることに同意しますか。（氏名・性別・年齢・住所・生年月日や信条・宗教など差別につながる情報などを尋ねる質問はありません。）Do you agree that your answers to questions on following pages will be uploaded on our website? (There'll be no question to ask you for your name, gender, age, address, date of birth etc. and belief, religion or other information that might cause discrimination) *
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