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  2. 2016
  3. February
  4. C
  5. Community Awareness
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Exit Survey
 
 
Hello:
my name is Jenna Mucklo and I am currently a senior at Thiel College. I am majoring in political science and my goal is to help the campus grow as a community. I am in the process of developing an educational forum to inform the students about dating violence, domestic violence and sexual violence

The purpose of this survey is to better understand your understanding about dating violence, domestic violence and sexual violence in our community. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jenna Mucklo at 330-257-1070 or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
What year are you?
 
A.Freshman
 
B. Sophomore
 
C. Junior
 
D. Senior/ Super Senior

 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What organizations are you involved in on campus? Please Check all the apply..
 
 
 
Are you part of Greek Life? If yes, are you in a sorority or fraternity?
 
Yes
 
No
 
 
 
 
 
Below is a list of scenarios. Please select the ones that you think are dating violence, domestic violence or sexual violence
 
A. Your partner is constantly putting you down.
 
B. Your partner checks your cell phone or email without permission.
 
C. Your partner may pressure or guilt you into something you don’t want to do.
 
D. If your partner, threatens you, strikes you, and then apologizes. (the cycle may repeat)

 
 
 
If you are experiencing dating violence or domestic violence, do you know where to go for help? If so, where?
   
 
 
 
7. Have you known, or do you know someone currently who is experiencing dating/domestic/sexual violence?
 
Yes
 
No
 
 
 
What of the following is a form of dating violence, domestic violence, or sexual violence?
 
A. Stalking
 
B. Physical Abuse
 
C. Verbal Abuse
 
D. Emotional Abuse
 
E. All of the above

 
 
 

9. Have you ever had a conversation about domestic violence, dating violence or sexual violence with a friend or family?
 
Yes
 
No