Fillable Haven Surveys 2014 15 Pdf Format (California State University, Fresno)

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Haven Surveys 2014 15 Pdf Format (California State University, Fresno)

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Haven Surveys 2014-2015
This survey asks about your current beliefs, attitudes, and experiences. Remember that this survey is anonymous. None of the information you provide will be linked to you in any way. Your
Individual response to any question you’re asked in this course will never be identified with you or reported.
If there are questions you would prefer not to answer, you can choose to leave them blank, but we hope you’ll answer all questions as completely as you can. The Information you provide will
help us evaluate the effectiveness of the course.
1. To What extent do you agree with the following statements?
Explicit Verbal consent is the best way to make sure a person is okay with sexual activity.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I don’t think sexual assault is a significant problem on my campus.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I would say or do something if I heard someone using sexist language.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I genuinely feel sorry for victims of relationship violence.6 Agree
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I have a good understanding of the definitions of sexual assault.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
It’s not sexual assault if both people have been drinking.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I can play a role in preventing relationship violence on my campus.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
Physical abuse is the only form of relationship violence.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
A person should never be blamed for being the victim of sexual assault.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I am confident in my ability to support a friend who has been sexually assaulted.6 Agree
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
People who identify as gay, lesbian, bisexual, or transgender are also at risk of relationship violence.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
Sexist jokes and language don’t contribute to relationship violence.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I would take action in a situation in which someone was trying to take advantage of another person sexually.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
Most students at my school would take action if they saw someone trying to take advantage of another person sexually.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree
4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I would respect someone who intervened to prevent a sexual assault.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
Most students at my school would respect someone who intervened to prevent a sexual assault.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I am aware of resources for relationship violence on my campus.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral
5 Somewhat Agree 6 Agree 7 Strongly Agree
I can identify warning signs of abuse in dating relationships.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
I would feel comfortable intervening if I witnessed abusive behavior.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
Most students at my school would feel comfortable intervening if they witnessed abusive behavior.
1 Strongly Disagree 2 Disagree 3 Somewhat Disagree 4 Neutral 5 Somewhat Agree 6 Agree 7 Strongly Agree
The following questions ask about experiences of non-consensual or unwanted sexual contact. This information can be used to help create a safe, supportive community at your school.
If these questions are difficult or uncomfortable for you in any way, or if you would prefer not to answer them, you can choose to leave them blank. We also encourage you to seek out support resources if needed
(which are provided in this program).
In this survey, sexual contact means one (or more) of the following:
Forced touching of a sexual nature
Oral sex
Sexual intercourse
Anal sex
Sexual penetration with a finger or object
2. In the past, someone pressured or forced me into sexual contact without my explicit consent (e.g., used physical force or threatened to physically harm you; manipulated you through lies, threats, or pressure;
took sexual advantage of you when you were significantly impaired or incapacitated by drugs/alcohol, etc.).
No
Yes, before I arrived on my campus as a student
Yes, after I arrived on campus as a student
Yes, both before and after I arrived on my campus as a student
Not sure
Prefer not to answer
3. In the past, I pressured or forced someone into sexual contact without their explicit consent (e.g., used physical force or threatened to physically harm them; manipulated them through lies, threats, or
pressure; took sexual advantage of them when they were significantly impaired or incapacitated by drugs/alcohol, etc.).
No
Yes, before I arrived on my campus as a student
Yes, after I arrived on campus as a student
Yes, both before and after I arrived on my campus as a student
Not sure
Prefer not to answer
4. I have experienced some form of abuse (verbal, physical, sexual, emotional, financial) or threats of abuse in a current or previous relationship.
No
Yes, before I arrived on my campus as a student
Yes, after I arrived on campus as a student
Yes, both before and after I arrived on my campus as a student
Not sure
Prefer not to answer
4. I have experienced some form of abuse (verbal, physical, sexual, emotional, financial) or threats of abuse in a current or previous relationship.
No
Yes, before I arrived on my campus as a student
Yes, after I arrived on campus as a student
Yes, both before and after I arrived on my campus as a student
Not sure
Prefer not to answer
5. I have experienced repeated and unwanted attention, harassment, or other form of contact from another person that has made me feel afraid.
No
Yes, before I arrived on my campus as a student
Yes, after I arrived on campus as a student
Yes, both before and after I arrived on my campus as a student
Not sure
Prefer not to answer
NOTE: DEMOGRAPHIC QUESTIONS ARE ONLY INCLUDED IN SURVEY 1
6. What is your biological sex?
Male
Female
7. What is your current gender identity?
Male
Female
Transgender
Other (Please Specify):
8. Do you consider yourself to be:
Bisexual
Gay
Heterosexual / Straight
Lesbian
Questioning
Other (Please Specify):
9. Choose one answer that best describes your race / ethnicity:
Black / African American (Non-Hispanic)
Caucasian / White (Non-Hispanic)
Hispanic / Latino
Asian / Pacific Islander
American Indian / Native Alaskan
Other (Please Specify):
10. Are you a United States citizen?
Yes
No
11. If you are not a United States Citizen, how many years have you lived in the United States?
12. What best matches your current situation?
I am currently attending classes
I am about to begin attending classes
13. What year of school are you entering (currently enrolled)?
Freshman (First-Year)
Sophomore (Second-Year)
Junior (Third-Year)
Senior (Fourth / Fifth / Sixth Year
Graduate or professional school student
Other
Not a student
14. How old are you?
15. From what state did you graduate high school?
16. Which Best describes your [current] Intended living arrangements for this year of college?
College residence hall
Substance-free residence hall
On-campus apartment or house
Off-campus apartment or house
At home with family
17. Are you currently a member of any of the of the following? Please check all that apply.
Fraternity or sorority
Volunteer /community service organization
Student religious group
Intercollegiate athletic team
Intramural or club athletic team
Health education group
Media organization (e.g., newspaper, radio, magazine)
Substance abuse prevention peer education group
Minority or ethnic organization
Political or social action group
Music or other performing arts group
18. Do you intend to be a member of any of the following while at college? Please Check all that apply.
Fraternity or sorority
Volunteer /community service organization
Student religious group
Intercollegiate athletic team
Intramural or club athletic team
Health education group
Media organization (e.g., newspaper, radio, magazine)
Substance abuse prevention peer education group
Minority or ethnic organization
Political or social action group
Music or other performing arts group
19. Describe the highest level of education reached by ANY of your primary caregivers (e.g. mother, father, parental guardian)
Not applicable
Some high school
High school graduate / GED
Technical school graduate
College graduate
Graduate school
20. What is your intended (current) enrollment status?
Full-time student
Part-time student
21. Did you transfer, or are you transferring, to this institution this term?
Yes
No
22. With Whom do you intend to live while at college? Please Check all that apply.
Alone
With 1 roommate
With 2 or more roommates
With parent(s)
With steady boyfriend/girlfriend, partner, or spouse
With child(ren)
Other
This survey is the property of EverFi, Inc. It is for review purposes only. Any distribution, sharing or use, without the expressed consent of the Director of Research at EverFi, is strictly forbidden.
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Haven Surveys 2014 15 Pdf Format (California State University, Fresno)

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Completed 18 July 2020

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