Questionnaire – Date Rape
I am a grade 12 Family Studies student that is studying and analyzing the effects of date rape on the victim and on those who are convicted of the crime. My target audience is older females, ages 16 to 24- that have been subject to this crime, or those who know someone who had been subject to it. I would like to thank you personally for responding to this questionnaire, and I would like to make it clear that all responses will remain anonymous.
1. What year were you born in? ________________________
2. Where do you live (City)? ________________________
3. Are you a male or female? ________________________
4. How much, on a scale of 1-10, 1 being the lowest amount and 10 being the highest, do you know about date rape?
1 2 3 4 5 6 7 8 9 10
5. Do you know anyone who has experienced any kind of Sexual Assault?
YES NO
6. If yes, did they report it?
YES NO
7. Do you know the effects of the Date Rape drug?
YES NO
8. True or false, 80% of college students will get raped.
TRUE FALSE
9. On a scale of 1 being least often, and 10 being the most often, how many date rape attacks are reported?
1 2 3 4 5 6 7 8 9 10
10. Have you experienced a sexual assault?
YES NO
10. If you have experienced a sexual assault, do you know who committed the act?
YES NO
11. If yes, did you report it?
YES NO
12. If yes, what were the effects of the report, please explain.
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ____________
13. If no, why didn’t you report it?
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ______________________________________
14. Please explain what you feel the punishment should be for those who are convicted of the date rape crime?
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ _______________
15. If you were to be date raped, would you have the courage to report it?
YES NO
16. Why do you think date rapes are so often un-reported?
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ________________
17. Do you think that women that are put in uncomfortable positions or situations, weather it be sexually or verbally, should be protected under the law?
YES NO
18. Do you have any further comments on the subject of date rape, and/or sexual assault?
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ______________________________________
Thank you for responding to the survey, if you wish to see the results, please notify the distributor by e-mail, jamitjill@live.ca