1.Are you at least 18 years of age or older?

Yes

No

2.Do you self-identify as Black, African American, and/or of African descent?

Yes

No

3.Have you experienced police brutality or police violence directly as defined below?

Police violence/brutality: excessive use of physical force, verbal assault, physical violence, sexual violence, psychological violence (e.g., slurs, threats, intimidation), assault with a weapon, and neglect by a law enforcement official.

Yes

No

4.Do you reside in the D.C metropolitan region?

District of Columbia; The counties of Prince George's, Frederick, Charles, and Montgomery in Maryland; The counties of Arlington, Prince William, and Fairfax; Cities of Alexandria and Falls Church in the Commonwealth of Virginia)

Yes

No

5.Are you a legal resident or citizen of the United States?

Yes

No

6.Please provide your full name (First and last).

This research study is 100% confidential and all identifiable information will be de-identified using pseudonyms to protect your privacy and confidentiality.

7.Please provide the best email address to contact you.