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Brief Anonymous Survey: Rape and Sexual Assault in the United States
Thank you for taking the time to help others.
This survey was created by a rape victim for victims as a way to combat rape and sexual assault by educating our leaders and change-makers on the impact and scale of Rape on the victim to help them better understand how to help.
The survey takes 1-2 minutes.
After the Rape, I Experienced the Following:
Thoughts of Suicide
Attempts at Suicide
Trouble Concentrating on Work
Alienation or Distancing from Loved Ones
Relationship Problems with my Significant Other
Experienced Major Medical Issues Due to Stress or Other Issues
Traumatic Memory Recall
Increased or Decreased Sexual Activity
Fear for my Safety
After the Rape I Felt the Above Symptoms for the Following:
2 Weeks or Less
2 Months or Less
6 Months or Less
Did You Report the Rapist for Rape or Sexual Assault?
As a Result of Reporting the Rape, the Perpetrator was:
No Official Action Was Taken
Served Prison Time
I Felt Safe Sharing My Rape with:
A Family Member
My Significant Other
A Religious Official
The Officer in Charge
A Rehab Facility
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