Bias Incident Survey
The Matthew Shepard Foundation (the Foundation) is undertaking an initiative to improve the collection of data on bias motivated incidents. As part of this initiative the Foundation is interested in collecting data on the number and type of bias motivated incidents occurring in an area, and whether these bias motivated incidents were reported to local law enforcement by the victim. As part of this effort the Foundation is collecting data on bias motivated incidents experienced by target groups of interest to the Foundation. As a member of one of the target groups of interest, the Foundation is asking you to complete this survey questionnaire by providing us the information requested concerning any bias motivated incident you were a victim of during the period January 1, 2017 through December 31, 2017.

Your participation in the survey is completely voluntary, and you are not required to complete the survey. There is no penalty for not completing the survey. You are not required to answer any or all of the survey questions, and may stop answering questions at any time.

The data, results, and findings of the survey will be used only in the aggregate, and will be used internally by the Foundation in its advocacy work on bias motivated incidents and in preparing public outreach materials. The results and findings of the survey may be shared with the Foundation’s partners and affiliates, as well as researchers conducting research on bias motivated incidents. All survey responses will be collected on an anonymous basis, and no data is being collected that will specifically identify any individual survey participant.

If you have questions or concerns about this survey, you may contact the principal investigator for the project, Stephen M. Griffin, PhD, at stevegriffinphd@gmail.com, or Jason Marsden at Jason@matthewshepard.org.

Thank you for your participation in the survey.

The Matthew Shepard Foundation

Instruction: The following questions concern your experience with bias motivated incidents during the period January 1, 2017 through December, 31, 2017. Please limit your responses to the questions in this section to your experience during that period.

Question 1: For the purposes of this survey a Bias Motivated Incident is defined as an incident in which a person (a) knowingly causes bodily injury to another person;  or (b) by words or conduct, knowingly places another person in fear of imminent threat to that person or that person's property and such words or conduct are likely to produce bodily injury to that person or damage to that person's property;  or (c) knowingly causes damage to or destruction of the property of another person; with the intent to intimidate or harass another person because of that person's actual or perceived race, color, religion, ancestry, national origin, physical or mental disability, gender, gender identification, or sexual orientation. Keeping the definition of a bias motivated incident in mind, during the period January 1, 2017 through December 31, 2017 were you subject to a bias motivated incident?
Instruction
If you answered “Yes” to Question 1, please continue on to next section and Question 2.
If you answered “No” to Question 1, please skip to the Section 3 and Question 7
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