Your name and surname:
This is your personal details. Please note that this information will not be shared or published and is just for our record purposes.
Your cellphone number:
This is your personal details. Please note that this information will not be shared or published and is just for our record purposes.
Your email address:
This is your personal details. Please note that this information will not be shared or published and is just for our record purposes.
Your date of birth (DD/MM/YYYY)
This is your personal details. Please note that this information will not be shared or published and is just for our record purposes.
Question 1: Why have you chosen to speak up?
Question 2: What would you like people to learn from this interview?
Question 3: How has your life been impacted by your experiences of abuse? (tell your story)
Question 4: When you left the relationship, did the abuse change?
Question 5: Do you think there is enough awareness around economic and financial abuse?
Question 6: What support is available to you? Ie. organisations, work, friends.
Question 7: Why do you think women refrain from speaking up about their experiences?
Question 8: What would you like to see the Government do?
Question 9: What piece of advice would you give women?
Upload a photo of yourself.
We would like to put a face to the name and story. If you feel comfortable, please upload a face picture of yourself (preferably with a white background). You will have the option below to ask that we blur out your face so that you are not recognizable.
Upload your photo here...
1. We thank you for your participation.
2. All personal detail contained herein will be treated as confidential.
3. By submitting your story, you consent that we could publish your story (as is or edited).
4. Please note that all stories are scrutinized by an attorney to ensure that there are no infringements of any Acts and Regulations.