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Survey Templates Surveys Sexual Assault - COPIED [QCCKYWLKDR]

Sexual Assault - COPIED [QCCKYWLKDR]

Sexual Assault


Hello Hollins Student:


Thank you for taking the time to participate in our survey. The Center is collecting information from Hollins University students in order to assess current programs offered for sexual assault.


This survey will collect information about sexual assault and information about students attitudes towards services currently offered for sexual assault at Hollins. In this survey, approximately 800 people will be asked to complete a survey that asks questions about sexual assault, campus programs, and student attitudes towards current services offered. *** Some of the questions in this survey are PERSONAL and may be considered graphic. Please make sure that you are in a CONFIDENTIAL AREA prior to taking this survey.***


Your participation in this study is incredibly important. The information collected in this survey will help determine what services need to be offered on this campus and will also determine the amount of money spent on these services.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. If you have questions at any time about the survey or the procedures, you may contact Georgi Fisher at 540-776-0744 or by email at [email protected].


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


What is your current year at Hollins?

What is your year of birth?

Do you believe that Hollins students are sexaully assaulted on campus?

Do you believe that Hollins students are sexually assaulted off campus?

Are you aware of programs offered at Hollins to educate students about sexaul assault and assist students who have been affected by sexual assault?

If yes, what services are you aware of?
Have you ever accessed campus resources for information about sexual assault or for assistance after being assaulted?

What resources did you access?

If you accessed services, did you feel that these services treated you with respect and addressed your questions/concerns with accuracy and speed?

If No, what about these services needs to be improved?

Do you feel that Hollins faculty, staff and administrators are adequately trained to assist survivors of sexual assault?

If No, what do you think can be done to improve Hollins faculty, staff and administrators capability of assisting survivors of sexaul assault?

Do you feel that Health and Counseling Services offers effective treatment and information about sexaul assault?

If Not, What do you think needs to be improved?
Do you feel that Hollins Campus Safety is adequately trained to assist survivors of sexual assault?

If Not, What do you think needs to be improved?
Do you think that it is important for Hollins to have a clear policy addressing sexaul assault on campus?
Do you feel safe on the Hollins campus?
If No or Sometimes, what do you think needs to be improved to ensure your safety?

Have you had sex play (fondling, kissing, or petting) when you didn't want to because a man threatened or used some degree of physical force (twisting your arm, holding you down, etc.)?
If yes, about how many times has it happened? (From age 14 on)

If yes, how many times has this happened within the last year (September to September)?

Have you ever had a man attempt sexaul intercourse (get on top of you, attempt to insert his penis) when you didn't want to by threatening or using some degree of force (twisting your arm, holding you down, etc.) but intercourse DID NOT occur?

About how many times has it happened (from age 14 on)?

About how many times in the last year (September to September)?

Have you ever had a man attempt sexaul intercourse (got on top of you, attempt to insert penis) with you by giving you alcohol or drugs, but intercourse DID NOT occur?

About how many times has it happened?

How many times in the last year (September to September)?

Have you given in to sexual intercourse when you didn't want to because you were overwhelmed by a man's continual arguments and pressure (from age 14 on)?

About how many times has it happened (from age 14 on)?

How many times in the last year (September to September)?

Have you had sexual intercourse when you didn't want to because a man used his position of authority (boss, teacher, counselor, supervisor)? (From age 14 on)

About how many times has it happened? (From age 14 on)

How many times in the last year (September to September)?

Have you ever had sexual intercourse when you didn't want to because a man gave you alcohol or drugs? (From age 14 on)

About how many times has it happened? (From age 14 on)
How many times in the last year (September to September)?

Have you had sexaul intercourse when you didn't want to because a man threatened or used some degree of physical force (twisting your arm, holding you down, etc.) to make you? (From age 14 on)

About how many times has it happened? (From age 14 on)

How many times in the last year (September to September)?
Have you had sex acts (anal or oral intercourse or penetration by objects other than the penis) when you didn't want to because a man threatened or used some degree of physical force (twisting your arm, holding you down, etc.) to make you? (From age 14 on)

About how many times has it happened? (From age 14 on)

How many times in the last year (September to September)?
Have you given in to sex play (fondling, kissing or petting, but not intercourse) when you didn't want to beause you were overwhelmed by a woman's continual arguments and pressure?

About how many times has it happened? (From age 14 on)

How many times in the last year (September to September)?
Have you had sex play (fondling, kissing or petting, but not intercourse) when you didn't want to because a woman used her position of authority (boss, teacher, counselor, supervisor) to make you? (From age 14 on)

About how many times has it happened?

How many times in the last year (September to September)?

Have you had sex play (fondling, kissing or petting) when you didn't want to because of a woman threatened or used some degree of physical force (twisting your arm, holding you down, etc.)? (From age 14 on)
About how many times has it happened? (From age 14 on)

How many times in the last year (September to September)?
Have you had a woman attempt sexual penetration (get on top of you, attempt to insert an object) when you didn't want to by threatening or using some degree of force (twisting your arm, holding you down, etc.) but penetration DID NOT occur?

About how many times has it happened? (from age 14 on)

How many times in the last year (September to September)?

Have you ever had a woman attempt sexual penetration (got on top of you, attempt to insert object) by giving you alcohol or drugs, but penetration DID NOT occur?

About how many times has it happened (from age 14 on)?

How many times in the last year? (September to September)
Have you given in to sexual penetration when you didn't want to because you were overwhelmed by a woman's continual arguments or pressure? (From age 14 on)

About how many times has it happened? (from age 14 on)
How many times in the last year? (September to September)

Have you given in to sex when you didn't want to because a woman gave you alcohol or drugs? (from age 14 on)

About how many times has it happened? (From age 14 on)

How many times in the last year? (September to September)
Have you had sex when you didn't want to because a woman threatened or used some degree of physical force (twisting your arm, holding you down, etc.) to make you? (From age 14 on)

About how many times has it happened? (From age 14 on)

How many times in the last year? (September to September)

Do you feel that there is anymore information we should know about you that was not included in our survey? If yes, please let us know.

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