Supporting Survivors Across Kyrgyzstan
Your responses are confidential. You may skip any question you are uncomfortable answering. If you are in danger right now - please contact emergency services or a trusted person.
How should we address you? (name or alias) *
Your age
Your phone number / Telegram / WhatsApp *
Is it safe to contact you at this number/account?
YesNoOnly at certain times
What type of situation are you facing? (select all that apply)
Domestic violencePhysical violencePsychological / emotional abuseEconomic abuseSexual violenceStalking / threatsForced marriageViolence by relativesExploitationTrafficking in personsCyberbullying / online blackmailOther
If other, please describe
Briefly describe what happened or is happening now
Are you safe right now?
YesNoNot sure
Do you need urgent help?
YesNo
Exploitation is a situation where a person is used against their interests through deception, pressure, threats, dependency or coercion. In Kyrgyzstan, exploitation may include: forced or unpaid labour; labour exploitation of migrants; forced marriage (ala kachuu); sexual exploitation; forced begging; confiscation of documents or prohibition from leaving a workplace; use of children for work or income; and online exploitation and blackmail.
Have you faced a situation where you were forced to work, pressured, had your documents withheld, had your freedom restricted, or were used against your will?
Do you believe someone gained benefit or control over you through fear, dependency, deception or coercion?
What services do you need right now? (select all that apply)
Psychological supportLegal assistanceTemporary safe shelterMedical assistanceHelp with documentsPolice assistance / protectionEmployment assistanceFinancial assistanceSupport for childrenMigration consultationOnline consultationOther
Do you have children?
How many children?
Are the children currently with you?
Do the children need help? (select all that apply)
Psychological supportMedical assistanceSafe shelterOther
Have you previously sought help?
If yes, where? (police, crisis center, NGO, etc.)
What city or region are you in?
What language do you prefer to receive assistance in?
KyrgyzRussianEnglishOther
If other, please specify
How did you hear about KoldooBar? (select all that apply)
InstagramTikTokFacebookThrough friends / acquaintancesFrom an NGO / foundationThrough school / universityThrough a crisis centerThrough advertisingVia Google searchOther
