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Empowerment
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* Indicates required question
What is your Age?
*
Your answer
Gender
*
Male
Female
Other:
What is your nationality?
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Your answer
Where do you live now?
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Name the country you live in now.
Your answer
What is your martial status?
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Single
In a relationship
Married
Divorced
Widowed
Education
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Highschool
Bachelors
Graduate degree
Other:
What is your birth order in your family?
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First
Middle
Youngest
Only child
What is empowerment to you ?
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You can answer in few words or sentences.
Your answer
In general, do you think you have control on your life and your choices?
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Yes completely.
Most of the time yes.
Sometimes.
No.
What are three things you "Have" in your life that gives you empowerment?
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Your answer
What are three things you "Lack" in your life that would give you empowerment?
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Your answer
In your opinion, to what degree you are empowered in your life?
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If 10 is very empowered and 1 is the least empowered.
1
2
3
4
5
6
7
8
9
10
If you live or once lived abroad, Do you think that you felt more empowered abroad than when you lived in your country?
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If you never lived abroad please write (Did not live abroad) in Other.
Yes.
Most of the time.
sometimes.
No, It feels the same.
I feel like I am less empowered.
Other:
Do you think you feel more empowered in your job ?
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if you were never employed You can write (unemployed) in Other.
Yes
Most of the time.
Sometimes.
No, It feels the same.
I feel like I am less empowered.
Other:
Do you think that you are more empowered in your own country?
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Yes
Most of the time
Sometimes
No, It feels the same.
I feel like I'm less empowered.
Do you think you are more empowered when you are with your own family?
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Yes
Most of the time
Sometimes
No, It feels the same.
I feel like I'm less empowered.
Do you think you are more empowered with your friends?
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Yes
Most of the time
Sometimes
No, It feels the same
I feel like I'm less empowered.
Do you think you feel less empowered in public spaces than in private spaces (e.g. The street, mall, ..etc)
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Yes
Most of the time
Sometimes
No, It feels the same
I feel like I'm less empowered
Do you think you are more empowered when you are responsible for a family?
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Yes
Most of the time
Sometimes
No, It feels the same
I feel like I'm less empowered
Do you think you are more empowered when you have more responsibilities in general?
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Yes
Most of the time
Sometimes
No, It feels the same
I feel like I'm less empowered
Do you think your empowerment is affected by your financial status?
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Yes
Most of the time
Sometimes
No
Do you think your empowerment is affected by what your culture is require you to become?
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Yes
Most of the time
Sometimes
No
Do you think your empowerment is affected by what your culture is require you to be?
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Yes
Most of the time
Sometimes
No
How do you define an empowered person?
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Your answer
How comfortable were you answering these questions?
*
Very comfortable.
Mostly comfortable.
Somewhat uncomfortable.
Very uncomfortable.
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