Group Harassment Awareness Form

Group Harassment Awareness Form

February 29, 2008

Please take a moment to answer the questions below, regarding your awareness of group harassment. PLEASE DO **NOT** TAKE THIS QUIZ IF YOU ARE A TARGET. Thanks.

NOTE: YOUR IDENTITY WILL NOT BE SENT TO THE ORIGINATOR OF THIS FORM.
Are you aware of organized groups set up to harass selected people?	Yes No
If you are aware, for about how many years have you been aware?	Up to 1 year 1 to 5 years Over 5 years
Are you aware of affiliation between harassment groups and "citizen watch" groups?	Yes No
Are you aware of these harassment groups using vicious lies (for example, the target is a pedophile) as part of their harassment?	Yes No
Are you aware of harassment groups entering the target's home, car, or workplace when the target is away to perform sabotage?	Yes No
Are you aware of harassment devices which can cause pain, disrupt sleep, or transmit sounds to a target, through the target's wall, being used by harassment groups?	Yes No
What is your age group?	Up to 10 11-20 21-40 Over 40
What is your occupation?	Doctor Lawyer Police officer Security Firefighter Military Political office Technical Financial Factory Construction Transportation Student Other
What is your geographic area?	Canada U.S. Central America South America United Kingdom European Union Middle East Africa Northern Asia Southern Asia Pacific Rim Australia/NZ Other

form creator

Thank you!