The Pottawatomie/Lincoln County Coordinated Community Response Team (CCRT) and Sexual Assault Response Team (SART) has developed this survey in an effort to improve services and identify gaps in our community for people who have experienced a sexual assualt. If you have experienced a sexual assualt and utilized sevices in Pottawatomie or Lincoln County, please consider completing this survey. Your responses are anonymous and the accumulation of all responses will be used to improve victim services. If you have any questions regarding the survey or if you are interested in services, please contact the Chair of SART, Jennifer Smothers, at 405-273-9953 or j.smothers@projectsafeok.com.

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* 1. With which race(s) do you identify? (Check all that apply)

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* 2. What is your gender?

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* 3. Have you ever experienced sexual assault?

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* 4. Did you experience a sexual assault in Pottawatomie or Lincoln County?

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* 5. How long ago was your sexual assault?

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* 6. My sexual assault took place when I was:

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* 7. Please select all the services that you utilized after your assault:

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* 8. To what extent were your needs met by the services you used?

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* 9. Did the District Attorney’s office prosecute your case?

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* 10. If yes, what was the outcome?

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* 11. If your needs were not met in any service you received, please tell us why:

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* 12. Were you treated with respect and dignity?

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* 13. Did the advocate explain the process and choices in a way you understood?

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* 14. I felt in control during the process.

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* 15. Were the written materials you received helpful?

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* 16. What do you wish was different during this process?

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* 17. After your assault, was there a service you wished would have been available to you but was not?

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* 18. Is there anything else you would like to share about your experience?

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