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1. How old are you? (Required.)

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2. What is your gender? (Required.)

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3. Which city do you live in?

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4. Do you believe that learning to say ’no’ to your partner can help you gain power in the relationship?

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5. Would you say that gradually making decisions for yourself, even if your partner disagrees with them, will help you regain your power?

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6. Do you agree that learning to keep your own values and opinions while in a relationship will help you gain power?

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7. Do you think that making decisions for yourself that make you feel good and fulfilled is empowering?

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8. True or False - When you begin to take control of your own happiness without depending on your partner to make you happy, then you’re reclaiming your power.

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9. True or False - Communicating your boundaries with your partner and being firm with them shows that you are reclaiming your power.

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10. Would you say that not allowing your partner to disrespect you is a sign that you’re reclaiming your power?

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11. Do you think that overpowering your partner is a sign that you’re reclaiming your power?

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12. Do you know about Choma? (Required.)

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13. If you answered yes, have you used the Choma platforms (Website, Social Media)? (Required.)

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14. How long have you used the Choma platforms? (Required.)

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