Sexual abuse survey

This survey is designed to collect information about sexual abuse experiences. The survey is anonymous and confidential.

Eligibility

The survey is open to all individuals who have experienced sexual abuse at some point in their lives.

Not the Template you are looking for?
Request new template
Not the Template you are looking for?
Request new template

Questions for Sexual abuse survey

1.

How old were you when you were first sexually abused?

The answer should be a text input.
2.

How old were you when the abuse stopped (if it has stopped)?

The answer should be a text input.
3.

How often were you abused?

The answer should be a text input.
4.

Who abused you?

The answer should be a text input.
5.

Was anyone else present during the abuse?

The answer should be a single choice:
  1. Yes
  2. No
6.

How did the abuse make you feel?

The answer should be a text input.
7.

What, if anything, did you do in response to the abuse?

The answer should be a text input.
8.

Have you ever told anyone about the abuse?

The answer should be a single choice:
  1. Yes
  2. No
9.

If you told someone about the abuse, how did they respond?

The answer should be a text input.
10.

How has the abuse affected your life?

The answer should be a text input.

Similar Ideas

  • Childhood sexual abuse survey
  • Sexual assault victimization survey
  • Sexual harassment victimization survey
  • Sexual coercion victimization survey
  • Rape victimization survey

Here are some FAQs and additional information
on
Sexual abuse survey

What is sexual abuse?

Sexual abuse is any form of sexual violence, including rape, child molestation, incest, and sexual harassment.

Who is at risk for sexual abuse?

Anyone can be a victim of sexual abuse, regardless of age, gender, race, or socioeconomic status. However, certain groups are at increased risk, including women, children, and people with disabilities.

How common is sexual abuse?

Sexual abuse is unfortunately quite common. One in four women and one in six men will be sexually abused at some point in their lives.

What are the consequences of sexual abuse?

Sexual abuse can have a range of physical and psychological consequences, including but not limited to depression, anxiety, post-traumatic stress disorder, and substance abuse. Victims of sexual abuse may also have difficulty trusting others and may have trouble in their personal and professional relationships.

Want to use this template?

Loved by people at home
and at work

“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Dapp.com
Editor's choice
BlockSurvey social proof
Capterra
4.9 Star Rating

What's next? Try out templates like
Sexual abuse survey

1000+ Templates, 50+ Integrations

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE