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* 1. Please include your agency name, email, contact person and number.

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* 2. How many sexual assault victims were treated at your agency during 2012?

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* 3. Does your agency have any certified SANE nurses on staff?

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* 4. If yes:
How many certified SANE nurses are on staff?

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* 5. How do you handle sexual assault cases?

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* 6. If no:
Who conducts forensic examinations when victims come to your agency? (If you do not conduct forensic examinations at your agency, where do you refer them?)

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* 7. Does your agency have an anonymous reporting protocol for sexual assault cases?

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* 8. What is your agency's protocol about distributing Plan B to rape victims?

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* 9. Does your agency have protocol in place about the distribution of HIV prophylaxis to rape victims/

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