ACTION ZONE! LEADERSHIP Training Registration Survey

ACTION ZONE! Leadership trainings are held in the NYU Student Health Center Main Conference Room, 726 Broadway, on the 3rd floor.

REGISTRANT INFORMATION

REGISTRANT INFORMATION Name (First, Last):
Contact Email:

EVENT DATE: Please select the date you are registering to attend:

EVENT DATE: Please select the date you are registering to attend: Friday, April 19 2pm-5pm

Age:

College:

College: College of Arts and Science

College of Dentistry

College of Nursing

Courant Institute of Mathematical Sciences

Galatin School of Individual Study

Institute of Fine Arts

Institute for the Study of the Ancient World

Leonard N. Stern School of Business

NYU Abu Dhabi

Polytechnic Institute of NYU

Robert F. Wagner Graduate School

School of Continuing and Professional Studies

School of Law

School of Medicine

Silver School of Social Work

Steinhardt School of Culture, Education, and Human Development

Tisch School of the Arts

Major:

Gender: (Check all that apply)

Gender: (Check all that apply) Man

Woman

Transgender

I prefer not to say

Other

Year in School:

Year in School: First Year Second Year Third Year Fourth Year	Fifth Year Graduate Student NYU Staff NYU Faculty
Other (please specify)

Ethnicity: Check all that apply

Ethnicity: Check all that apply African American or Black American Indian or Alaska Native Arab or Arab American Asian or Asian American Biracial Hispanic (non-white)	Hispanic (white) Latino or Latina Middle Eastern Multiracial Native Hawaiian or Pacific Islander White
Other (please specify)

Member of Athletic Team?

Member of Athletic Team? Yes

If yes...

If yes... NCAA

Club

Other (please specify)

Member of social fraternity or sorority?

Member of social fraternity or sorority? Yes

Have any courses you have taken or workshops you have attended discussed sexual assault, rape, or any gender-based violence?

Have any courses you have taken or workshops you have attended discussed sexual assault, rape, or any gender-based violence? Yes

The Bystander Effect refers to the finding that:

The Bystander Effect refers to the finding that: bystanders will be more likely to help when they feel they are competent to do so.

the greater the numbers of bystanders, the less likely individuals are to help.

people in crowds are distracted, so they don’t interpret emergencies correctly.

witnesses to an emergency are more likely to help victims similar to them.

I don't know

A pro-social bystander is one who:

A pro-social bystander is one who: can reduce risky behavior.

can model intervention strategy for others.

can assist a peer in distress.

can do all of the above.

I don’t know

The first step in deciding to help is:

The first step in deciding to help is: combatting pluralistic ignorance.

noticing the event.

knowing what to do.

taking responsibility.

I don’t know

One obstacle to intervention includes the phenomenon in which each bystander’s sense of responsibility to help decreases as the number of witnesses increases, which best defines:

One obstacle to intervention includes the phenomenon in which each bystander’s sense of responsibility to help decreases as the number of witnesses increases, which best defines: diffusion of responsibility.

pluralistic ignorance.

failure to help.

inadequate preparation.

I don't know

Please list 3 resources students can access to help them intervene on behalf of another NYU student:

Please list 3 resources students can access to help them intervene on behalf of another NYU student: Resource 1:
Resource 2:
Resource 3:
I don't know of any: (type 'yes' if top 3 boxes are left blank)

How important is the topic of Bystander Intervention to you personally?

Not important at all	Somewhat important	Important	Very important	Extremely important
How important is the topic of Bystander Intervention to you personally? Not important at all	Somewhat important	Important	Very important	Extremely important

A situation I encountered or know I will encounter that I’m not sure of how to intervene in is: