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| What grade are you currently in? |
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| Do you know anyone who has experienced domestic violence? |
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| Have you ever personally witnessed domestic violence? |
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| Have you ever been in an abusive relationship? |
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| Have either of your parents been or are currently in an abusive relationship? |
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| How often do your parents fight if ever? |
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| Have you ever committed an act of domestic violence, whether knowingly or accidentally? |
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| Do you know the signs of domestic abuse? |
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