**WARNING** This survey asks you to recall some information regarding an experience of sexual violence. We are gathering information about the kind of help that is most effective and what services need to be enhanced in north eastern Manitoba. If you suspect this survey will trigger trauma responses in you, please do not proceed. Your care and well-being are more important than data collection. If you would like to provide some feedback on this survey, please feel free to answer the questions that you are able to answer. Your responses are anonymous and will only be seen by the survey evaluators. If you have questions about the survey, please contact Holly at 204-753-5353 or holly@survivors-hope.ca. 

Thank you for taking the time to complete this survey! The voice of survivors of sexual violence is so important in working on improving the services that are available to the rest of community. Please take the time to pay attention to any emotions that may have come up during the course of this survey and to practice self-care. We recognize that it can be very difficult to think back to an experience of sexual violence. If that is the case, please do whatever you need to do to take care of yourself and remember that there are services available to help you in a number of different ways.

Survivor’s Hope Crisis Centre

-       24/7 Sexual Assault Recovery and Healing (SARAH) crisis response at RCMP detachments or ERs in north eastern Manitoba

-       Monday – Thursday in Pinawa. Call to make an appointment at 204-753-5353

-       Monday Drop-In from 12-5 at 3 Walnut Street, Powerview-Pine Falls (in the Winnipeg River Learning Centre)

Klinic Province-wide Sexual Assault Crisis Line

            1-888-292-7565

Calm in the Storm Stress Management app

            http://calminthestormapp.com/

* 1. When did you experience sexual violence? Check all that apply.

* 2. Did you turn to someone you knew for help? If so, who? (example: friend, mom, etc. Please don’t list names of individuals)

* 3. Did you turn to a formal resource for help? If so, who? (please be specific and name the agencies)

* 4. If you did not seek help, what made you feel you couldn’t ask for help? What barriers to getting help got in the way?

* 5. Did you feel like the person/resource you went to for help was able to help you in the way you needed? Please rate each source of help on a scale of 1-10 1 = not helpful at all, 5 = somewhat helpful, 10 = the exact help needed

* 6. For the help you rated 5-10, what was it that made them seem helpful?

* 7. For the help you rated 0-4, what do you wish they had done differently or what do you wish they had known before they tried to help?

* 8. What additional resources are needed in your community for those who need help in regards to an experience of sexual violence?

* 9. Check off the topics you think would increase your understanding of sexual violence and support services?

* 10. What is the best way to share this type of information with you and those you know?

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