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