Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. EXIT If you are a survivor of sexual assault, please support us to uncover the reality of assault cases in South Africa, by filling out this Questionnaire. This is an anonymous survey by Women For Change, which will not collect any personal identifiable information. OK Question Title * 1. How old are you? Under 18 19 - 29 30 - 45 Older than 45 OK Question Title * 2. Have you been a victim of sexual assault? Yes, once. Yes, many times. No OK Question Title * 3. What type of assault/s have you experienced? Child abuse Domestic Violence Rape Sexual harassment Emotional abuse Physical abuse Verbal abuse Financial abuse Sex trafficking Stalking Online sexual harassment Sexual Assault Kidnapping Molestation Other (please specify) OK Question Title * 4. Do you know the perpetrator? Yes No OK Question Title * 5. Have you reported the abuse? Yes, I got justice. Yes, but the official did nothing. No. Other (please specify) OK Question Title * 6. If you have not reported, what is the reason for this? Fear of retaliation Belief that it was my fault Belief that the police would not do anything to help Did not want to get perpetrator in trouble with the law Did not want family or friends to know Fear of the justice system Fear of lack of evidence Feel that too much time has passed Feel the crime was not 'serious enough' Other (please specify) OK DONE
