First Information Report (FIR) Questionnaire
For every woman that reports sexual violence, there are many that do not, due to many reasons, including security, social stigma & discrimination. Amnesty International India's campaign aims to ensure that women are able to report violence safely, with dignity and without facing prejudice.

We would like to invite women who have chosen to report sexual violence or harassment to the authorities to fill out this short questionnaire. If you would rather do this interview in person, please email us on contact@amnesty.org.in

To learn more about how to report sexual violence, visit www.readytoreport.in

Privacy *
We understand & acknowledge that sharing may be a difficult process for some, but we truly believe that this campaign cannot succeed without the inputs of those whose voices it is speaking for and with. Please tick one of the following options:
Next
Never submit passwords through Google Forms.
This form was created inside of The Random Lines. Report Abuse - Terms of Service - Additional Terms