Sexual Violence Community Survey Question Title * 1. Do you know what sexual violence is? Yes No Unsure Question Title * 2. Do you think sexual violence occurs in our community? Yes No Unsure Question Title * 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 Question Title * 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 Question Title * 5. When thinking of our community, what factors do you think are contributing to sexual violence? Question Title * 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. Question Title * 7. What can be done to break any barriers that may exist in reporting sexual violence? Question Title * 8. What programs and services do you think need to be in our community to help address sexual violence? Question Title * 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 Question Title * 10. Are you Hispanic, Latino, or of Spanish origin? Yes No Question Title * 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 Question Title * 12. What age group do you belong? 15 - 20 21 - 30 31 - 40 41 - 50 51 - 60 61 and older Prefer not to answer Done
