Have you been affected by sexual assault?
Are you male or female? (Circle which one)
Are you between the ages of 13 to 18? If so circle the age
13 14 15 16 17 18
Are you in a relationship? Yes___, No____, or No Comment___
- Have you ever been sexually assaulted? Yes___, No___, No Comment
- Where do you think sexual assault would occur most often?
___ Job/Place of occupation ___Home
___ School ___ the mall
___ Public places ___ No Comment
- How would/or did this effect your life?
____________________________________________________________________________________________________________________________________________________________
- Should there be compensation (financial aid from rapist) for rape victims? Yes___. No___
- Which type of rape would scare you the most?
____ Marital/Domestic
___ Acquaintance (date rape) ____ Stranger
- Check the punishment(s) below that you feel a rapist should get.
__ 20 to Life in prison __Death sentence
__ Therapy
- Of the three answers below; which would you think might be the hardest way to finally get past the rape?
- Intensive therapy
- Closure
- An apology from rapist, then forgiving them.
- Intensive therapy
- What usually causes the rapist to commit rape?
- Them being raped as a child
- They were born a psychopaths (feeling no empathy)
- They are a sadist.
- Them being raped as a child
- Do you think if more people were to approach being a rapist as a psychological problem, there would be less rape? Yes____, No____
Do you believe adults should be more aware of their children's surroundings? Yes__ No__
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