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2014
October
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Hello Fitchburg State Students, Faculty, and Staff. You are invited to participate in our survey regarding sexual assault and dating violence on our FSU Campus. In this survey, approximately 1,750 people will be asked to complete a survey that asks questions about intimate partner violence on campus. It will take approximately 7 minutes to complete the questionnaire.
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 Samuel Carroll, Nathan Gregiore, or Phil Karampatsos at 978-665-3563 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.
Please select one of the following:
-- Select --
Student
Faculty
Staff Member
Other
Where do you live?
Fitchburg State Housing
Off campus apartment building
Resident the city of Fitchburg, MA
Commute from or live in another city
specify city
I have heard of the following Fitchburg State Services/Programs (Select all that apply)?
FAVE- (Fitchburg Anti Violence Education)
Ribbon/Awareness (Domestic Violence) Campaigns by Counseling Service
Take Back the Night
RAD (Rape Aggression Defense) Courses
"Ask first, Kiss second" Posters
Other
In the event that you become a victim of or witness a sexual assault, rape, sexual harassment, or dating violence (Select all that apply)?
Tell an intimate friend that you trust
Call Campus Police at 978-665-3111
File a report with campus police
File a formal complaint with the Dean of Academic and Student Life
Do nothing
Contact a counselor at counseling services
Contact a medical provider at health services
Tell a Student Security Officer
Tell a Student EMT/EMS volunteer First Responder
Other, please speficy
How often do you attend house parties?
-- Select --
Never
Weekly
Monthly
How often do you consume alcohol?
Nightly
Weekly
Monthly
Rarely
Socially (occasionally, but not to get intoxicated)
Never
Other
In terms of providing protection, care, and services in the context of sexual and dating violence prevention, how satisfied are you with the following:
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
N/A
Campus Police
Health Services
Counseling Services
Housing and Residential Staff
Student EMS
While intoxicated, have you ever done any of the following?
Mutually consented to sex
Had sex, with someone you didn't know
Had sex, when you didn't want to
Had sex, and didn't remember it the next day
Had sex, and the other person didn't want to
Other
Comments/Questions/Suggestions regarding Dating Violence, Intimate Partner Violence, or Sexual Assault on our Campus:
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