Paper Women

Please answer Question 1 (story) OR Question 2 (checkbox) AND Question 3 (use consent).

Results of this survey will be used as part of the ongoing linoprint artwork Paper Women by me (Amanda Firenze). Individual responses will be printed to a paper woman, and then the women will be added to artist books with other women's stories, which will be donated to the State Library Collection. The stories will also be shared online (please opt out below if needed) through my website and printed into zines. All responses are completely anonymous, can be in any language and no identifying information will be used. I would love your words, but I can definitely work with your experiences (tick as many boxes as needed). You are not alone and together we can empower ourselves, each other and change the world.

For more information on me, please visit printchange.wordpress.com or my Facebook or Instagram pages. To see examples of paper women, please visit the Paper Women Gallery.

Abuse information based on the Domestic Abuse Intervention Project, Duluth Minnesota, www.theduluthmodel.org.

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* 1. Tell me your story of abuse that you have suffered in as many or as few words as you like - nothing will be edited and your story will remain anonymous.

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* 2. If you don't wish to write, please mark any of the below forms of abuse that you may have suffered. Please note each of these forms of abuse has more details in questions below if you wish to give more information.

Verbal abuse (see Question 5 for further options)

Physical abuse (see Question 6 for further options)

Psychological abuse (see Question 7 for further options)

Emotional abuse (see Question 8 for further options)

Social abuse (see Question 9 for further options)

Financial abuse (see Question 10 for further options)

Sexual abuse (see Question 11 for further options)

Harassment and stalking (see Question 12 for further options)

Spiritual or religious abuse (see Question 13 for further options)

Reproductive abuse (see Question 14 for further options)

Image-based abuse (see Question 15 for further options)

Past child abuse (see Question 16 for further options)

Stranger abuse (see Question 17 for further options)

Please list any other forms of abuse that have affected you:

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* 3. Please indicate below if you DO NOT wish for your story / experience to be shared in the online artwork.

I do not wish to have my story / experience shared online

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* 4. Please indicate if you would like your entire story featured on the Paper Women - The Whole Story webpage (for more info click here).

Yes

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* 5. Verbal abuse

swearing and continual humiliation, in private or in public

attacks on smartness, sexuality, body image, ability as a parent or partner

putting down religious beliefs or ethnic background

screaming, shouting, name-calling, put-downs

Other (please specify)

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* 6. Physical abuse

direct attacks on the body - choke, strangle, shake, eye injury, bite, slap, push, spit, burn, punch, kick, pull hair

use of weapons including objects

hurting children

being locked in or out of the house or rooms

forced drug taking

not allowing medication, food or medical care

not allowing sleep

Other (please specify)

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* 7. Psychological abuse

creating fear, such as driving dangerously, possessing weapons, angry looks

destroying property or valued possessions

hurting or killing pets in front of family members

making threats regarding custody of children

saying that the police / courts will not help, support or believe the abuse claims

threatening to 'out' the person

Other (please specify)

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* 8. Emotional abuse

being blamed for all problems in the relationship

constantly being compared with others to undermine self-esteem and self-worth

sporadic sulking

withdrawing all interest / engagement (eg weeks of silent treatment)

emotional blackmail and suicidal threats

Other (please specify)

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* 9. Social abuse

isolation from family / friends eg ongoing rudeness to them to alienate them or limiting contact

instigating and controlling the move to a location where the victim has no friends / family / work opportunities

restricting use of car / telephone

forbidding or physically being prevented from going out / meeting people

Other (please specify)

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* 10. Financial abuse

forbidding access to bank accounts

providing only a small 'allowance'

not being allowed to work or have a job

being forced to sign documents or make false declarations

controlling and using all the wages earned by you

denying all entitlement to joint property

Other (please specify)

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* 11. Sexual abuse

rape

any form of pressured or unwanted sex or sexual degradation during sex that causes pain

assaulting genitals

forced sex without protection against pregnancy or sexually transmitted disease

being forced to perform sexual acts unwilling (including taking or distributing of explicit photos)

criticising or usually sexually degrading insults

Other (please specify)

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* 12. Harassment and stalking

being followed and watched

telephone and online harassment

tracking movements through a GPS

being intimidated

turning up / entering without permission

Other (please specify)

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* 13. Spiritual or religious abuse

using spiritual / religious beliefs to scare, hurt or control

being stopped / shamed for practising spiritual / religious beliefs

being forced (children also) to take part in spiritual / religious practices that aren't agreed to

being forced to raise children according to beliefs that aren't agreed to

using religious / spiritual leaders / teachings to force a partner to stay in a relationship, or as an excuse for violent / abusive behaviour including access to medical / health care, forced marriages etc

Other (please specify)

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* 14. Reproductive abuse

being forced or pressured to have unprotected sex, become pregnant or have an abortion

passing on a sexually transmitted infection they knew they have

stopping use of birth control, ie throwing it away, hiding it, damaging it, preventing access to buying it

being forced to have operations to remove parts of genitals

Other (please specify)

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* 15. Image-based abuse

'revenge porn' - nude or sexual images taken or shared without permission

sharing or threatening to share intimate, nude or sexual photos / videos to friends / family / strangers / internet / social media

access personal computer files to steal images

photoshopping a person's image onto a sexually explicit photo / videa

images being taken of cleavage or under a skirt

secretly filming sexual activity or sexual assault

Other (please specify)

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* 16. Past child abuse

physical abuse - non-accidental infliction of injury

sexual child abuse - rape, molestation, child pornography production / possession

neglect - physical neglect, emotional neglect or educational neglect

emotional abuse - verbal, mental, psychological

Other (please specify)

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* 17. Stranger abuse

online abuse - trolling, messaging, violent / death threats

street harassment / catcalling - honking, whistling, calling out, unwanted advances, sexual suggestions

physical violence - deliberate personal space invasion, pushing, shoving, grabbing

sexual assault - groping, genital exposure, forced sexual activity, rape

Other (please specify)