FACSAFoundation.org Shattering The Silence Tour Documentary Project February 2015 Volume 3 | Page 97
9) What is your partner’s religion?
──────Baptist
──────Jewish
──────Pentecostal
──────Hindu
──────Muslim
──────Catholic
──────Presbyterian
──────Mormon (LDS)
──────Episcopalian
──────Assembly of God
────── Catholic
──────Atheist
──────Methodist
──────Agnostic
──────Church of Christ
──────None
──────Buddhist
──────Other (please specify)
10) Length of relationship you and your partner are in now, in months? ──────
11) My partner and I share financial responsibility. Circle One
Strongly
Agree
Disagree Strongly
Agree
Disagree
12) I am a survivor of sexual assault.
Strongly
Agree
Doesn’t
Agree
Apply
Circle One
Disagree Strongly
Disagree
Doesn’t
Apply