REGISTRATION SafeBAE Sexual Misconduct Policy Reform
This form serves as both registration and a climate survey.
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Name *
Email *
What is your age? *
What is your race? *
What is your gender identity? *
How do you define your sexual or affectional preferences? *
What is the full name of your high school? *
What state do you live in? *
To what extent do you agree or disagree with the following statements: *
Strongly agree
Agree
More or less agree
Undecided
More or less disagree
Disagree
Strongly disagree
I feel safe in school.
I feel safe in my city/town.
School Climate Survey: To what extent do you agree or disagree with the following statements: *
Strongly agree
Agree
More or less agree
Undecided
More or less disagree
Disagree
Strongly disagree
I think my school does a good job of teaching consent.
I think my school does a good job of teaching bystander intervention.
I think my school does a good job of teaching about healthy relationships.
I think my school does a good job of teaching my Tile IX rights in school.
I think my school does a good job of teaching where and who to report a sexual harassment or assault to in school.
I feel safe from sexual harassment in my school.
I feel safe from sexual harassment in my community.
I feel safe from sexual violence in my school.
I feel safe from sexual violence in my community.
To what extent do you agree or disagree with the following statements: *
Strongly agree
Agree
More or less agree
Undecided
More or less disagree
Disagree
Strongly disagree
I know a lot of people who have been slut shamed.
I know a lot of people who have been dress coded.
I know a lot of people who share nudes without permission.
I know a lot of people who have had rumors spread about something they've done sexually.
I know a lot of people who have stepped in when they've seen something sketchy going on between 2 people.
I know a lot of people who have reported an assault and everyone thought they were lying.
I know a lot of people who have said something when someone makes a sexist joke.
How often do you do the following: *
Never
Rarely
Occasionally
Sometimes
Frequently
Usually
Every time
Discuss sexual harassment or assault with a friend?
Discuss issues of consent with your friends?
Use the bystander intervention tools?
To what extent do you agree or disagree with the following statements: *
Strongly agree
Agree
More or less agree
Undecided
More or less disagree
Disagree
Strongly disagree
I have not given much thought to the topic of sexual consent.
I think that consent should be asked before any kind of sexual behavior, including kissing or touching.
Before making sexual advances, I think that one should assume ‘‘no’’ until there is clear indication to proceed.
Not asking for sexual consent some of the time is okay.
If both people are drunk it's okay not to get consent.
If one person is drunk it's okay not to get consent.
To what extent do you agree or disagree with the following statements: *
Strongly agree
Agree
More or less agree
Undecided
More or less disagree
Disagree
Strongly disagree
I see myself as an activist of dress code reform
I see myself as an activist of ending victim blaming
I see myself as an activist for creating a "consent culture" in your school/town
I see myself as an activist for teaching about bystander intervention
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