Mirror Memoirs Membership Survey

We are expanding our membership network in 2023!

Can you imagine a world without ALL forms of rape? How do we support ALL survivors?

Mirror Memoirs raises these questions and, by uplifting the stories, healing and leadership of child sexual abuse survivors who are LGBTQI+ Black and Indigenous people and/or people of color (BIPOC), provides a vision to galvanize all survivors (and our allies) to create a world without rape.

Our national storytelling and organizing project responds to the historical violence of genocide and slavery in the US that leaves Black and Indigenous children disproportionately vulnerable to violence today, and builds on the American Academy of Pediatrics’ 2012 study showing gender non-conformity is a risk factor for sexual abuse and their 2021 study showing transgender children are raped or sexually assaulted at higher rates than cisgender children.

As we prepare to disseminate our initial audio archive beginning in Fall 2023, we are also wondering what folks want to see from us, as an emerging organization.

Please help us reach our goal of surveying at least 1,000 people who are committed to ending child sexual abuse by supporting intersectional survivor leadership!

You may choose to complete this survey anonymously or by sharing your contact information. Either way, all data will not be seen beyond the Mirror Memoirs staff and board. All data will be anonymized for inclusion in any public reports. Mirror Memoirs staff will not share any quotes with your name attached without first obtaining your explicit permission.

Keep in mind Mirror Memoirs membership is open to ANYONE. BIPOC LGBTQI+ child sexual abuse survivors can become General or Core Members; everyone else can become an Accomplice Member. Membership is free, but if you have capacity to become a Sustaining Member with a monthly recurring pledge of $5/month or more, you help ensure we have the resources we need to keep interviewing survivors, creating educational tools and advocacy efforts based on our stories, and responding to the emergent needs of our most vulnerable members. You can make a Sustaining Member pledge at: mirrormemoirs.networkforgood.com

Thank you for all you do to co-create a world without rape! We are glad to be in this fight together.

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* 1. Are you a survivor of child sexual abuse?

Yes

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* 2. Do you identify as an LGBTQI+ person?

Yes

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* 3. What is your gender identity? (please select all that apply)

Cisgender Man

Cisgender Woman

Non-Binary

Transgender Man

Transgender Woman

Two Spirit

Intersex

Agender

Femme

Masc

Other (please specify)

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* 4. What is your sexual orientation? (please select all that apply)

Lesbian

Gay

Bisexual

Pansexual

Queer

Asexual

Heterosexual

Other (please specify)

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* 5. Which of the following best represents your race? (please select all that apply)

Black, Afro-Caribbean, or African American

Native or Indigenous (including Pacific Islander)

Latinx

East Asian or Southeast Asian

South Asian

Southwest Asian, Arab or Middle Eastern

White

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* 6. Please indicate whether you are part of any of the following populations (select all that apply)

Survivor of child sexual abuse

Partner of survivor of child sexual abuse

Family member of survivor of child sexual abuse

Minor (under age 18)

Young adult (age 18-24)

Parent of child(ren) under age 18

Parent of child(ren) over age 18

Direct service provider to survivors of sexual violence

Staff member of social justice nonprofit

Member or staff of community-based social justice collective/organization (not nonprofit)

Staff member of foundation or other philanthropic organization

Healthcare professional (doctor, nurse, physician's assistant, etc)

Therapist or counselor

Government employee

Educator

University employee

None of the above

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* 7. Please indicate whether you are part of any of the following vulnerable populations (select all that apply)

Formerly incarcerated

Formerly institutionalized in a mental health facility

Foster care youth (current or former)

Living with a mental health disability

Living with a physical disability

Currently or formerly undocumented

Currently or formerly homeless

Currently or formerly engaged in survival sex work

Currently unemployed

Currently or formerly struggling with addiction

One or more of the above applies to me, but I prefer not to say which one(s)

None of the above

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* 8. For people who are LGBTQI+ people of color who survived child sexual abuse, please indicate whether the following statements apply to you (select all that apply)

I have already shared my story in the Mirror Memoirs audio archive.

I would like to be interviewed to be included in the Mirror Memoirs audio archive.

I have already attended a Mirror Memoirs convening or healing circle.

I would like to attend a Mirror Memoirs convening specifically for LGBTQI+ people of color who survived child sexual abuse.

I would like to attend a Mirror Memoirs training institute, to learn how to lead workshops and keynotes based on findings from the project.

I would like to attend a Mirror Memoirs training to learn how to interview other LGBTQI+ people of color who survived child sexual abuse for the audio archive.

This statement does not apply to me.

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* 9. For people who are NOT LGBTQI+ people of color who survived child sexual abuse, please indicate whether the following statements apply to you (select all that apply)

I am a survivor, and I have attended a Mirror Memoirs healing circle or convening

I am a survivor, and I would like to attend a Mirror Memoirs healing circle or convening

I would like to attend a Mirror Memoirs training to help me better support vulnerable survivors

I would like to hire a Mirror Memoirs speaker to give a presentation at my organization

I would like to attend a conference on ending child sexual abuse

I would like to volunteer to transcribe a Mirror Memoirs interview

None of the above

This statement does not apply

I would like to volunteer for or engage with Mirror Memoirs in the following ways:

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* 10. Which of the following (if any) would you be excited to use or access if Mirror Memoirs created it?

Discussion guide to accompany the Mirror Memoirs audio archive

Podcast

Animated videos using clips from audio archive

Instagram content featuring statistics, quotes and survivor portraits

Art exhibit featuring multimedia pieces by LGBTQI+ survivors of color

Theater performance featuring LGBTQI+ survivor storytellers

Resource guides to support survivors (exploring healing beyond therapy)

Resource guides to support parents of young children (on prevention, support and healing)

Resource guides for survivors and their partners (on healthy relationships)

Resource guides on transformative justice approaches to accountability

Report on the Mirror Memoirs model, initial findings and implications for political/cultural change

None of the above

Other (please specify)

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* 11. If Mirror Memoirs was to participate in or lead campaigns for social change, to better support survivors and move toward a world without rape, what issues should we prioritize?

Prison abolition

Ending mandated reporting

Ending the sex offender registry

Reforming (more oversight and accountability) mental health hospitals

Reforming (more oversight and accountability) foster care

Advocating for child sexual abuse survivors who live with PTSD to more easily access benefits

Other (please specify)

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* 12. While membership in Mirror Memoirs is free, we have launched a Sustaining Member campaign, asking our General, Core and Accomplice Members who can donate $5 or more per month to make a monthly recurring donation at: mirrormemoirs.networkforgood.com

We suggest the following income-based scale for monthly recurring donation amounts. Any donation you can afford to give is welcome, and if you can afford to give more than the amount listed here, please do!

$0 - For ANY unemployed survivor of child sexual abuse

$12 ($1/month) - Low Income Folks

$120 ($10/month) - Folks Making $50,000+/year

$300 ($25/month) - Folks Making $75,000+/year

$600 ($50/month) - Folks Making $100,000+/year

$1200 ($100/month) - Folks with Generational Wealth or Property

What amount would you be willing and able to pay each year to belong to an intersectional, abolitionist network of child sexual abuse survivors (and our allies) co-creating a world without rape?

$1,200 ($100/month)

$600 ($50/month)

$300 ($25/month)

$120 ($10/month)

$60 ($5/month)

$12 ($1/month)

I would not be willing to make a monthly recurring donation as a Mirror Memoirs Member

I am willing to make a monthly recurring donation, but I cannot afford it

Other (please specify)

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* 13. If you were to become a Mirror Memoirs member, what benefits would you want to receive? (you can answer, or just indicate you would not become a member)

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* 14. Should Mirror Memoirs run member-led chapters in major cities across the US? Why or why not?

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* 15. If you would like to join the Mirror Memoirs network, please tell us how to stay in touch with you.

First + Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Mirror Memoirs Membership Survey

We are expanding our membership network in 2023!

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* 1. Are you a survivor of child sexual abuse?

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* 2. Do you identify as an LGBTQI+ person?

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* 3. What is your gender identity? (please select all that apply)

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* 4. What is your sexual orientation? (please select all that apply)

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* 5. Which of the following best represents your race? (please select all that apply)

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* 6. Please indicate whether you are part of any of the following populations (select all that apply)

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* 7. Please indicate whether you are part of any of the following vulnerable populations (select all that apply)

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* 8. For people who are LGBTQI+ people of color who survived child sexual abuse, please indicate whether the following statements apply to you (select all that apply)

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* 9. For people who are NOT LGBTQI+ people of color who survived child sexual abuse, please indicate whether the following statements apply to you (select all that apply)

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* 10. Which of the following (if any) would you be excited to use or access if Mirror Memoirs created it?

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* 11. If Mirror Memoirs was to participate in or lead campaigns for social change, to better support survivors and move toward a world without rape, what issues should we prioritize?

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* 13. If you were to become a Mirror Memoirs member, what benefits would you want to receive? (you can answer, or just indicate you would not become a member)

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* 14. Should Mirror Memoirs run member-led chapters in major cities across the US? Why or why not?

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* 15. If you would like to join the Mirror Memoirs network, please tell us how to stay in touch with you.

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* 16. Is there anything else you'd like to share with us?