Taking Prevention Online: Tell Us What You Think

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Type of Agency/Organization

Sexual Violence Agency/ Coalition

Domestic Violence Agency/ Coalition

Dual SV/DV Agency/ Coalition

State/Territory/Federal Public Health Department

Other State/ Territory/ Federal Government

Education (College/ University)

Community College

Trade or Technical School

Education (K-12)

Anti-trafficking organization or program

Tribal Organization

Alcohol and Other Drugs

Child Abuse / Child Maltreatment

Reproductive Health

Mental Health

Health Care

LGBTQ Organization

Community Based Organization

Faith Based Organization

Military

Criminal Justice (Law Enforcement, Prosecution, Probation, Court)

Athletics

Funder/Founder

Other (please specify)

Taking Prevention Online: Tell Us What You Think

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Type of Agency/Organization

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* 5. How have you already adapted sexual and/or intimate partner violence prevention programs for online events or distance learning?

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* 6. What challenges do you see in creating engaging online sexual and intimate partner violence prevention events?

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* 7. What opportunities do you see in creating engaging online sexual and intimate partner violence prevention events?

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* 8. What questions do you have about taking prevention online?