Survey
Caution - Participating in this survey may trigger memories, thoughts, trauma. If you experience anxiety or another type of emotional stress STOP the survey until such time you can participate.
Silent Screams is doing a survey to document facts about rapes and sexual assaults. The purpose of the survey is to collect data from the survivors about their assault(s) to have a better understanding of the needs of survivors. With this data we will be able to target our efforts into the areas of the greatest need. All we want are the facts of the assault. We do not want or need any personal information from you that would identify you.
1.
What age were you when you were assaulted?
What age were you when you were assaulted? 2.Was the assault one incident or more than one?
Was the assault one incident or more than one? 3.Was the assailant one perpetrator or more?
Was the assailant one perpetrator or more? 4.If more than one incident, how many?
If more than one incident, how many? 5.From what year or age to what year or age were you assaulted?
From what year or age to what year or age were you assaulted? 6.How many times have you been assaulted in your life?
How many times have you been assaulted in your life? 7.How many perpetrators assaulted you in your life?
How many perpetrators assaulted you in your life? 8.Did you tell someone about the assault(s)
Did you tell someone about the assault(s) 9.Is yes, who did you tell?
Is yes, who did you tell? 10.What was their reaction?
What was their reaction? 11.Did you feel the people you told about the assault believed you?
Did you feel the people you told about the assault believed you? 12.Did they blame you for the attack against you?
Did they blame you for the attack against you? 13.How did you feel about the attack against you? Do you feel ashamed, guilty, angry etc?
How did you feel about the attack against you? Do you feel ashamed, guilty, angry etc? 14.Did you file charges against your assailant?
Did you file charges against your assailant? 15.Did you go to court or did you drop the charges?
Did you go to court or did you drop the charges? 16.If you dropped the charges, why?
If you dropped the charges, why? 17.If the trial went to court what was the outcome?
If the trial went to court what was the outcome? 18.How did you feel when the verdict was stated?
How did you feel when the verdict was stated? 19. Have you been silent about what happened to you?
Have you been silent about what happened to you? 20.If yes why?
If yes why? 21.How has the attack(s) against you changed your life?
How has the attack(s) against you changed your life? 22. What is your age now?
What is your age now? 23. Are you married?
Are you married? 24. Do you have children?
Do you have children? 25.Does your husband, children know what happened to you?
Does your husband, children know what happened to you? 26.Do you know other women, children that have been raped?
Do you know other women, children that have been raped? 27.Do you want to share anything else? If so please write below.
Do you want to share anything else? If so please write below. Back to Our Services to You
