Church Harm/Trauma Survey
What is you role within the church structure?
Clergy
Laity
Other
If clergy please define your role using the subcategories below...
for example Ordained Deacon serving as Conference Treasurer.
Ordained
Provisional
Elder
Deacon
Licensed Local
Certified Lay Minister
District Superindendant
Bishop
Conference Staff
Extension Ministries
Denomination Affiliation (please indicate UM Conference or denomination affiliation in other space)
United Methodist
Other
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Number of years in current role?
Number of years in ministry?
What gender do you identify with?
What is your relationship status?
Single
Married
In a relationship
Divorced
Widowed
Separated
Prefer not to say
Do you have chidren?
Yes
No
If yes record ages below in the other field
Other
What is your age?
18-25
26-35
36-45
46-55
56-65
66 and above
What is your ethnicity
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In your own words explain your understanding of sacred trust?
Church harm for the purpose of this survey is defined as “the emotional, mental, spiritual or physical harm that occurs within a church. It can be intentional or unintentional and can stem from a variety of sources including unhealthy leadership or religious dogma.” Based on this definition do you believe you have experienced church harm?
Trauma for the purpose of this survey is defined as a sudden and forceful event that overwhelms a person’s ability to respond to it, recognizing that a trauma need not involve actual physical harm to oneself; an event can be traumatic if it contradicts one’s worldview and overpowers one’s ability to cope.” As a result of church harm do you believe you have experienced trauma?
If you answered yes to the above questions, what type(s) of harm/trauma have you experienced? (select all that apply)
Emotional
Mental
Spiritual
Physical
Sexual
Abuse of Power
Bullying/harassment
Other
If you have experienced church harm/trauma would you be willing to share more about your experience either by a personal interview or extended questionnaire?
Interview
Questionnaire
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Name
First Name
Last Name
Email
example@example.com
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