Are you currently in fear for your safety or the safety of your family members due to the actions of the individual in question?
Yes, my safety
Yes, my safety
Yes, my family's safety
Yes, my family's safety
Both
Both
Neither
Neither
Next
Are you currently in fear for your safety or the safety of your family members due to the actions of the individual in question?
Yes, my safety
Yes, my safety
Yes, my family's safety
Yes, my family's safety
Both
Both
Neither
Neither
Next