Office of Civil Rights, Title IX Survey Question Title * 1. What is your current gender identity? Female Male Transgender Female Transgender Male Other (please specify) Question Title * 2. What is your race as you define it? Mark all that apply. American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Other (please specify) Question Title * 3. Which term best describes your sexual orientation? Bisexual Gay Heterosexual Lesbian Questioning Other (please specify) Question Title * 4. What is your current status? Adult Student High School Student Question Title * 5. What sex were you assigned at birth, meaning on your original birth certificate? Female Male Question Title * 6. I feel valued in the classroom/learning evnironment. Strongly Agree Agree Disagree Strongly Disagree Question Title * 7. Faculty, staff, and administrators respect what students on this campus think. Strongly Agree Agree Disagree Strongly Disagree Question Title * 8. I think faculty are genuinely concerned about my welfare. Strongly Agree Agree Disagree Strongly Disagree Question Title * 9. I think administrators are genuinely concerned about my welfare. Strongly Agree Agree Disagree Strongly Disagree Question Title * 10. I feel close to people on this campus. Strongly Agree Agree Disagree Strongly Disagree Question Title * 11. I feel like I am a part of this school. Strongly Agree Agree Disagree Strongly Disagree Question Title * 12. The faculty, staff, and administrators at this school treat students fairly. Strongly Agree Agree Disagree Strongly Disagree Question Title * 13. I feel safe on this campus. Strongly Agree Agree Disagree Strongly Disagree Question Title * 14. School officials (administrators, teachers, counselors, security) should do more to protect students from harm. Strongly Agree Agree Disagree Strongly Disagree Question Title * 15. If a crisis happened on campus, my school would handle it well. Strongly Agree Agree Disagree Strongly Disagree Question Title * 16. The school responds too slowly in difficult situations. Strongly Agree Agree Disagree Strongly Disagree Question Title * 17. School officials handle incidents in a fair and responsible manner. Strongly Agree Agree Disagree Strongly Disagree Question Title * 18. My school does enough to protect the safety of students. Strongly Agree Agree Disagree Strongly Disagree Question Title * 19. There is a good support system on campus for students going through difficult times. Strongly Agree Agree Disagree Strongly Disagree Question Title * 20. The school authority take reports of sexual assault very seriously. Very Likely Moderately Likely Slightly Likely Not at all Likely Question Title * 21. In order to respond properly, the school would keep knowledge of the report limited to those who need to know. Very Likely Moderately Likely Slightly Likely Not at all Likely Question Title * 22. The school would take steps to protect the person making the report from retaliation. Very Likely Moderately Likely Slightly Likely Not at all Likely Question Title * 23. The school would take steps to protect the safety of the person making the report. Very Likely Moderately Likely Slightly Likely Not at all Likely Question Title * 24. The school would forward the report outside the campus to criminal investigators. Very Likely Moderately Likely Slightly Likely Not at all Likely Question Title * 25. The school would take corrective action to address factors that may have led to the sexual assault. Very Likely Moderately Likely Slightly Likely Not at all Likely Done