Sexual Assault in New Jersey

Have you ever been a victim of sexual assault?

How was the situation dealt with?

If you went to the police, or school, was the situation dealt with properly?

Who sexual assaulted you?

If you would like to explain the event of the sexual assault, please feel free. This is completely anonymous!

If you went to the police and you felt the situation was properly dealt with, please explain. If you went to the police and you felt the situation was not properly dealt with, please explain.

When/ where did the event of the crime take place and how old were you? (ex: a school dance in 9th grade; I was __ years-old, etc.)

If you have anything else you would like to add, please feel free! If you would like to contact me and allow me to use your name, my email is [email protected]. Otherwise, this survey is completely anonymous. Thank you!

Where are you from? (Include town and state, please)