Exploring Issues Around Sexually Inappropriate Behaviour

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This form will take about 8 minutes to fill in. Thank you for taking the time. We are studying people who act out sexually in an inappropriate way, and worry about committing, or have committed an illegal sexual act(s). This survey is entirely anonymous, confidential and no personal information will be shared. Our aim is to use the information to demonstrate a need for more therapeutic help for those at risk of committing a sexual offence, or re-offending.

Age

Under 16

16-18

19-25

26-35

36-45

46-55

56-65

over 66

Clear selection

What is your sexual orientation

Heterosexual

Homosexual or Lesbian

Bisexual

Unknown

Other:

Which part of the UK do you live in?

N E England

N W England

Midlands

East England

London and Home Counties

S E England

S W England

Wales

Scotland

Northern Ireland

Other:

Tick the one(s) that best describe your sexual activity

I have sexually inappropriate thoughts but I have never acted on these in any way

I have sexually inappropriate behaviours, but they are legal

Currently my sexual behaviour is legal, but am concerned that I might offend in the future

I have committed illegal sexual acts in the past and fear I might re-offend in the future

I have committed sexual offences in the past, but now my sexual behaviour is entirely legal

I am currently committing sexual offences

Option 1

Clear selection

If you served a sentence could you briefly describe the crime and the sentence

If you have behaved illegally, have you 'been caught' by the police?

| have committed sexual offences but never been caught

I have been caught but I was 'let off' or they thought I was innocent

I have been caught and cautioned

I have been caught and arrested

I have been caught and served a non custodial sentence

I served a custodial sentence for sexual offences

Other:

What age do you think your problem started?

0-10

11-16

17-18

19-25

26-35

36-45

46-55

56-65

Over 65

Other:

Which of the following statements are true for you as a child

I was physically abused and hit as a child

I experienced sexual abuse as a child

I experienced trauma(s) as a child

I was neglected as a child

My parents split up when I was a child

My family was stable and supportive when I was a child

Other:

Which of the following statements are true for now?

I suffer from depression

I suffer from anxiety

I am generally very stressed

I do not form successful intimate relationships

I lack friends

I have physical illness that I connect with childhood issues

I have thought about committing suicide

I have tried to commit suicide

Other:

How would you rate your current self esteem?

Very low

Very high

Clear selection

Please tick the answers that describe you

I do not have a partner

I have a partner who is not aware of my behaviour(s)

I have a partner who is aware of some but not all

I have a partner who is fully aware

My partner has been seeking help and support

Other:

Have you tried to seek help for your sexually inappropriate behaviour?

Yes

Other:

Clear selection

Before you came across StopSO - how easy was it for you to find help?

Do not include the help StopSO is giving you in this answer. Instead think about how easy it was when you approached other people/agencies, to find the help that you needed

Very easy

Impossible

Clear selection

Who have your sought help from?

Doctor - G.P.

GUM clinic

Psychiatrist

Counsellor, Psychologist or Psychotherapist

Sex Therapist or Relate Counsellor

StopSO Therapist who Specialises in working with Sexual Offenders

12 Step Group

Residential Rehab Group

Minister, Vicar, Rabbi or Pastor

Other:

Was the help forthcoming

Yes

Other:

Clear selection

When you did get help, how beneficial was it?

Very unhelpful

Very helpful

Clear selection

Which behaviours do you (or have you) engage(d) in

Child pornography

Illegal offensive pornography

Cyber chat with under 16's

Web cam sex with under 18's

Contact offences with under 12 year olds

Contact offences with boys aged 13-18

Contact offences with girls aged 13-18

Contact offences with adult women

Contact offence with adult men

Exhibitionist behaviours

Voyeur

Other- please specify below

Other:

What support to stop this would be helpful?

check out www.stopso.org.uk and www.sexaddictionhelp.co.uk

Any other comments or anything else we should know?

How honest have you been able to be in this questionnaire?

Not at all honest

Completely honest

Clear selection

Are you male, female or other (please specify)

If you have 'crossed the line' and committed a sexual offence, was it a

tick all that fit

contact offence with a child

contact offence with an adult

looking at other illegal images

non contact offence with a child (eg masturbation in front of child)

looking at child abuse images

non contact offence with an adult

I have committed another kind of sexual offence

I have always remained completely law abiding

I don't want to answer this question

Other (please specify more below)

If you committed an offence, please fill in fuller details here about the type of offence you committed.

if it involved a child, the age of the child. If it involved illegal images, the kind of images, etc

If you committed an offence, how old were you when you committed your first sexual offence

As well as your age, please give any extra info that would be useful for us here (eg if you have committed a number of different types of offences, what was the first offence)

Did you seek help for this, and if so why? What was the trigger that got you thinking you needed to actually get help?

If you did not seek help, what is it that stops you from doing so?

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