Exposure to abuse or violence | Jordanian Women's Union

Reporting abuse or violence

On Whom Did The Abuse / Violence Occur?

Me personally

On other people

Personal Information

Your name

Your landline number

Your mobile number

Education level

Address

Age

Marital status

Kinship or knowledge with the person / persons exposed to violence

Victim of Abuse / Violence Information

Fields are optional, but please fill in all the information you know, any information that might help us

Name

Landline Number

Mobile number

Education level

Address

Age

Marital status

Details Of Abuse / Violence Case

Fields are optional, but please fill in all the information you know, any information that may help us

Level of violence

Low

Average

Severe

Responsible party / abuser

Details of the case of violence