undefined

Sexual violence survey

Sexual violence survey aims to collect data on the prevalence of sexual violence in a population. The survey is typically conducted by interviewing a sample of individuals from the population. The survey may ask about the respondent's personal experiences with sexual violence, as well as their knowledge, attitudes, and beliefs about sexual violence.

3 minutes to complete

Eligibility

The survey is usually open to people who have been sexually assaulted in the past 12 months.

undefined

Questions for Sexual violence survey

Questions

1.

What is your age?

The answer should be a number input.
2.

What is your gender?

The answer should be a single choice:
  1. Male
  2. Female
3.

What is your race or ethnicity?

The answer should be a text input.
4.

What is your sexual orientation?

The answer should be a text input.
5.

What is your relationship status?

The answer should be a single choice:
  1. Single
  2. Married
  3. Seperated
  4. Divorced
6.

Have you ever experienced sexual violence?

The answer should be a single choice:
  1. Yes
  2. No
7.

If yes, please describe the nature of the sexual violence you experienced.

The answer should be a text input.
8.

Have you ever been a victim of intimate partner violence?

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

If yes, please describe the nature of the intimate partner violence you experienced.

The answer should be a text input.
10.

Have you ever been a victim of stalking?

The answer should be a single choice:
  1. Yes
  2. No
11.

If yes, please describe the nature of the stalking you experienced.

The answer should be a text input.
12.

Have you ever been a victim of online harassment?

The answer should be a single choice:
  1. Yes
  2. No
13.

If yes, please describe the nature of the online harassment you experienced.

The answer should be a text input.
14.

Describe any impact sexual violence had on your life?

The answer should be a text input.
15.

Have you ever reported a sexual violence incident?

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

Surveys Similar to Sexual violence survey

  • Sexual Assault Survey
  • Sexual Violence Prevention Survey
  • Rape and Sexual Assault Victimization Survey

Here are some FAQs and additional information
on
Sexual violence survey

How do I know if I am eligible to take this survey?

The survey is usually open only to people who have been sexually assaulted in the past 12 months.

What will the survey ask me?

The survey asks about your experiences of sexual violence and how you were affected. It asks about how you reported the crime, how you were treated by the criminal justice system and how you felt about the outcome.

How long will the survey take?

It will take you approximately 10 minutes to complete the survey.

Can I access the survey more than once if I need to?

Yes, you can access the survey as many times as you like. However, you will only be able to submit it once.

How do I know my information is confidential?

Your information is confidential and this is guaranteed by the privacy-focused nature of BlockSurvey. Your responses cannot be traced back to you personally.

Want to use this template?

Loved by people at home
and at work

undefined
“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
undefined
“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 violence survey

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE