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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.

Time to complete

3 minutes

Eligibility

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

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Questions for Sexual violence survey

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

Similar Ideas

  • 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.

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