Sexual Violence Community Survey
1.
Do you know what sexual violence is?
Yes
No
Unsure
2.
Do you think sexual violence occurs in our community?
Yes
No
Unsure
3.
What forms of sexual violence do you think occur most?
Child Sexual Assault
Sexual Assault of Men and Boys
Sexual Assault of Women and Girls
Intimate Partner Violence
Incest
Drug-Facilitated Sexual Assault
All of the Above
Other (please specify)
None of the above
4.
What specific forms of sexual violence have you personally witnessed?
Child Sexual Assault
Sexual Assault of Men and Boys
Sexual Assault of Women and Girls
Intimate Partner Violence
Incest
Drug-Facilitated Sexual Assault
Unsure
Other (please specify)
None of the above
5.
When thinking of our community, what factors do you think are contributing to sexual violence?
6.
Before starting this survey, were you aware of the following places that provide help to people exposed to sexual violence?
Brantley County Sheriff's Office
City of Hoboken Police Department
City of Nahunta Police Department
School Resource Officer
Satilla Advocacy Services
School Counselor/Nurse/Administration
McKinney Medical Center/Hospital
Other (please specify)
I didn't know to find help at any of these places.
7.
What can be done to break any barriers that may exist in reporting sexual violence?
8.
What programs and services do you think need to be in our community to help address sexual violence?
9.
Which gender identity/identities do you most identify with?
Woman
Man
Nonbionary
Transgender
Intersex
Gender non-conforming
Prefer not to answer
Another gender identity
10.
Are you Hispanic, Latino, or of Spanish origin?
Yes
No
11.
How would you describe yourself?
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian and Other Pacific Islander
White
Prefer not to answer
Another Description
12.
What age group do you belong?
15 - 20
21 - 30
31 - 40
41 - 50
51 - 60
61 and older
Prefer not to answer
