Sexual Assault Survey

This survey is about sexual assault and includes questions that some may find triggering. If you are unsure you wish you wish to continue, or get uncomfortable at any point, please close this survey. If you or anyone you know has been a victim of sexual assault and needs help, the Sexual Assault Hotline number is 800.656.HOPE (4673). There may also be free and confidential counseling, legal advocates, safe houses and other services in your area. If you wish to continue the survey, please type "yes". If not, please close out and know that you are strong and supported.
How old are you?
16-24
25-33
34-42
43-51
52-60
61-69
70+
What is your gender? (How do you identify?)
Male
Female
Transgender Female
Transgender Male
Non-Binary/Gender Non-Conforming
Other
Prefer not to answer
What is your ethnicity?
Asian/Pacific Islander
Black or African American
Hispanic or Latino
Native American or American Indian
White (Caucasian)
Other
Prefer not to answer
What is your sexual orientation? (If you prefer not to answer please write "N/A")
Do you know someone who has been sexually assaulted? (Sexual Assualt = any type of sexual contact or behavior that occurs without the explicit consent. Including (but not limited to) rape, forcible sodomy, incest, fondling, attempted rape.)
Yes
No
Prefer not to answer
Have you ever been sexually assaulted? (Sexual Assualt = any type of sexual contact or behavior that occurs without the explicit consent. Including (but not limited to) rape, forcible sodomy, incest, fondling, attempted rape.)
Yes
No
Prefer not to answer
Did you report your sexual assault to the authorities?
Yes
No
Prefer not to answer
N/A
If you did report your sexual assualt to the authorities, what led you to taking this step? (If you prefer not to answer please write "N/A")
If you did not report your sexual assualt to the authorities, what stopped you from taking this step? (If you prefer not to answer please write "N/A")
If you reported, did your case make it to court?
Yes
No
Prefer not to answer
N/A
If your case made it to court, was the perpetrator convicted?
Yes
No
Prefer not to answer
N/A
How long was it before you told someone about your sexual assault?
I told someone immediately. (Within 24 hours)
I told someone after a week or more.
I told someone after a month or more.
I told someone after a year or more.
I told someone after 5 years or more.
I told someone after 10 years or more.
I told someone after 20+ years.
I never told anyone.
Prefer not to answer.
N/A
At what age were you sexually assaulted? (If you have never been sexually assaulted or prefer not to answer please write "N/A")
If you were sexually assaulted, but it was not rape, were you made to feel that you had less of a right/reason to report it, or that you should require less time to heal?
Yes
No
Prefer not to answer
N/A
Did you know the perpetrator?
Yes
No
Prefer not to answer
N/A
Were drugs or alcohol involved?
Yes, alcohol.
Yes, drugs.
Yes, both.
No drugs or alcohol were involved.
Prefer not to answer.
N/A
Did you seek any type of counseling after the fact?
Yes
No
Prefer not to answer
N/A
Were/are you aware of free resources available to you such as counseling, legal advocates, safe houses, group therapy?
Yes, and I utilized them
Yes, but I did not utilize them (did not feel like I needed them/did not want to/did not feel safe doing so/did not have the time/was not/am not prepared to share)
No, but I would have utilized them if I had known
No, but even if I did I would not have utilized them (do not feel like I needed them/do not want to/do not feel safe doing so/do not have the time/was not or am not prepared to share)
Prefer not to answer
N/A
What was the best thing that someone said to you when you shared your story? If someone shared their story with you, what do you think was the best thing you said in response? (If you have never shared or prefer not to answer please write "N/A")
What was the worst thing that someone said to you when you shared your story? If someone shared their story with you, what do you think was the worst thing you said in response? (If you have never shared or prefer not to answer please write "N/A")
What would have been the best thing that someone could have said to you when you shared your story? If someone did share their story with you, what do you think is the best thing you could say in response? (If you have never shared or prefer not to answer please write "N/A")
What would have been the worst thing that someone could have said to you when you shared your story? If someone did share their story with you, what do you think is the worst thing you could say in response? (If you have never shared or prefer not to answer please write "N/A")
What are some stigmas/ steryotypes / misconceptions about sexual assault? This can also be hurtful or hateful terms or words or phrases used. (If you prefer not to answer please write "N/A")
If you are comfortable doing so, please feel free to share anything else that you want/need to on this topic. (If you prefer not to say anything else please write "N/A")
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