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1
#1. The following are different ways that people can experience sexual violence. Please share which of these fits your experience.
childhood sexual abuse
sexual assault as an adult
sexual harassment
All of the above
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2
#2. Would you please share if you decided to report to the RCMP or chose not to?
Yes
No
Anonymous 3rd Party Reporting
Undecided
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3
If you answered Yes,
please answer questions #3 & #4
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4
#3. Based on your experience, can you describe your interaction with the RCMP?
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5
#4. Can you please identify any areas where you feel that there are/were gaps in the support you received from the RCMP?
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6
If you answered No
please answer question #5
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7
#5. What were/are the deciding factors that you based this decision on?
Not being believed
No recollection of the assault(s)/abuse/harassment
Feelings of blame or shame
Previous experience(s) with the RCMP
Were unaware of supports/options available
Disrupting the family/friend circle
Lack of trust in the justice system
Fear:
Other:
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8
If you chose Fear or Other, please explain
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9
If you reported anonymously,
please answer question #6
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10
#6. Are you considering making a full RCMP report in the future? Why or why not?
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11
If you answered Undecided
please answer question #7
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12
#7. What were/are the deciding factors that you based this decision on?
Not being believed
No recollection of the assault(s)/abuse/harassment
Feelings of blame or shame
Previous experience(s) with the RCMP
Were unaware of supports/options available
Disrupting the family/friend circle
Lack of trust in the justice system
Fear:
Other:
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13
If you chose Fear or Other, please explain
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14
#8. How do you feel that you could have/can be supported best?
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15
#9. Would you please share if you decided to seek medical attention/forensic exam or chose not to?
YES
NO
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16
If you answered Yes
please answer question #10 & #11
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17
#10. Based on your experience, can you describe your interaction with the hospital staff/SART nurse?
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18
#11. Can you identify any areas where you feel that there were/are gaps in the support you received from the hospital staff/SART nurse?
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19
If you answered No
please answer question #12
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20
#12. What were/are the deciding factors that you based this decision on?
Previous experience(s)
Were unaware of supports/options available
Feelings of shame or blame
Fear:
Other:
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21
If you chose Fear or Other, please explain
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22
#13. Were you at any stage offered an advocate?
example: call a support person/agency of your choice
YES
NO
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23
#14. If yes, did you choose to have an advocate to work with?
YES
NO
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24
#15. If yes, based on your experience, can you describe your interaction with your advocate?
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25
#16. Can you identify any areas where you feel that there are/were gaps in the supports/services you received from your advocate?
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26
At what age did you experience the abuse/assault/harassment?
13 - 17 years old
18 - 24 years old
25 - 44 years old
45 - 64 years old
65+
Under 12 Years old
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27
Did/do you identify as:
A housed person
A homeless person
A person with active addictions
Otherwise marginalized
Prefer not to say
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28
In the future, would you be interested in:
Sharing your story at a SOWINS event
Becoming a SOWINS volunteer
Becoming a support worker in the anti-violence sector
Becoming a Sexual Violence Advocate
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29
Does SOWINS have your consent to share your story anonymously?
YES
NO
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