Student Perspectives and Experiences Survey (SPES) Instr

Attachment A: Draft of Full CCVS/SPES Instrument

Student Perspectives and Experiences Survey (SPES) Instrument
Campus Climate Design and Testing Study
Student Perspectives and Experiences Survey (SPES) Instrument
1. Initial Demographics
PROGRAMMING NOTE: Text that is in ALL CAPS, red, blue, or green font will not be displayed to
respondents.
First, we’d like to ask a few questions about you.
1. How old are you? {dropdown}
o Under 18 {Explain that their participation is not possible. End survey.}
o 18
o 19
o 20
o 21
o 22
o 23
o 24
o 25
o 26
o 27
o 28
o 29
o 30+
What type of student are you?
o Community or Junior college student
o Undergraduate student
o Vocational, Trade, or Technical school student
o Graduate student
o Professional student (graduate degrees in law, medicine, veterinary medicine, etc.)
o Other (please specify):
3. How long have you been this type of student? In other words, are you in your…
o 1st year
o 2nd year
o 3rd year
o 4th year
o 5th year
o 6th+ year
o Other (please specify):
4. Are you an international student?
o Yes
o No

1

As a reminder, throughout the survey, we will refer to your school as “[SCHOOL].”
5. Are you a transfer student (that is, did you transfer into [SCHOOL])?
o Yes
o No
6. When did you start taking classes at [SCHOOL]?
o [MONTH] {dropdown}
o [YEAR] {dropdown}
7. How many of the classes you have taken at [SCHOOL] in the past 12 months (since [DATE]) have been
completely online (that is, no in-person instruction)?
o None
o A few
o About half
o Most
o All
o Other (please specify):
8. Do you currently live on campus?
o Yes
o No
o Not applicable (school does not have a campus)
9. {If Q8 = yes} Where do you live on campus?
o Residence hall or dormitory
o Fraternity house or affiliated location
o Sorority house or affiliated location
o Other school-sponsored, on-campus housing (such as apartment or house)
o Other (please specify):
10. {If Q8 = no or not applicable} Where do you live?
o A privately operated residence hall or dorm not sponsored by [SCHOOL]
o An off-campus fraternity or sorority house
o An apartment or house that is sponsored by [SCHOOL]
o An apartment or house that is not sponsored by [SCHOOL]
o At home with your parent(s) or guardian(s)
o Other (please specify):
11. Have you been employed by [SCHOOL] at any time in the past 12 months (since [DATE])?
o Yes
o No
12. Have you ever served on active duty in the U.S. Armed Forces?
o Never served in the military
o Only on active duty for training in the Reserves or National Guard
o Now on active duty
o On active duty in the past, but not now
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13. In the past 12 months (since [DATE]), which of the following groups and activities have you been a
member of at [SCHOOL]? Please select all that apply.
Honor society
Professional group related to your major or field of study
Fraternity or sorority (pledge or member)
Intercollegiate athletic team
Cultural group (e.g., Black Student Union, Latinx Student Association)
Identity affiliation group (e.g., LGB, Disability, First-Generation College Student)
Political or social action group
Student government
Performing arts group
Media organization (such as newspaper, radio, magazine)
ROTC, veterans, or other military group
Religious or faith-based group
Other student organization or group (please specify):
None

You have completed Section 1 of 5

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2. Victimization Screeners
A. Sexual Harassment Victimization Screener
This section asks about times when anyone may have said or done something of a sexual nature that
you didn’t want them to say or do. These things could have happened to you on or off campus and
either in-person, OR over the phone, through text message, email, social media, or online. Also, the
person(s) who did this could have been anyone, including current or former dating partners, other
people you knew, or complete strangers. Remember that you may skip any question or stop the survey
at any time if you feel uncomfortable.
14. In the past 12 months (since [DATE]), has anyone done the following things to you in-person? Please
include things no matter where you were when they happened to you.
Yes No
Made inappropriate or offensive comments (such as vulgar or explicit sexual
comments, jokes, or stories) about your body, appearance, or sexual activities
Tried to get you to talk about sexual things when you didn’t want to
Continued to ask you to go out, get dinner, hang out, have drinks, meet up, or hook up
even though you had already said “no”
Made you feel uncomfortable or offended you by making sexual comments, gestures,
or by staring at you
Talked about or referred to people of your sex using insulting or offensive
words
Showed you their sexual body parts when you didn’t want them to and without your
consent
Watched or took photos or videos of you when you were naked or having sex, without
your consent
15. In the past 12 months (since [DATE]), has anyone done the following things to you over the phone,
through text message, email, social media, or online? Please include things no matter where you
were when they happened to you.
Yes No
Made inappropriate or offensive comments (such as vulgar or explicit sexual
comments, jokes, or stories) about your body, appearance, or sexual activities
Tried to get you to talk about sexual things when you didn’t want to
Continued to ask you to go out, get dinner, hang out, have drinks, meet up, or hook up
even though you had already said “no”
Made you feel uncomfortable or offended you by sending sexual comments, gestures,
or emojis
Talked about or referred to people of your sex using insulting or offensive
words
Showed you their sexual body parts when you didn’t want them to and without your
consent
Watched or took photos or videos of you when you were naked or having sex, without
your consent
Sent you offensive sexual comments, jokes, stories, pictures, or videos that you didn’t
want to see or receive
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Sent or shared sexual rumors, stories, videos, or images of you to other people when
you didn’t want them to. This could include deepfakes, or AI-generated videos or
images.
16. In the past 12 months (since [DATE]), has someone in a position of authority over you (such as a
professor, supervisor, boss, teaching assistant, coach) done the following things to you either inperson OR over the phone, through text message, email, social media, or online? Please include
things no matter where you were when they happened.
Yes No
Promised you better treatment or suggested you would receive favors or privileges if
you hooked up with them (including kissing, sexual touching, sex)
Threatened or suggested that you would be treated worse or differently if you didn’t
hook up with them (including kissing, sexual touching, sex)
{If all Q14 = No, all Q15 = No, and all Q16 = No, skip to Sexual Assault Victimization Screener.}
17. {If yes to any in Q14, Q15, or Q16} You said someone did the following things:
• [POPULATE BULLETED LIST OF Q14, Q15, & Q16 ITEMS ENDORSED]
How many different times have you experienced these things in the past 12 months (since
[DATE])?
o 1 time
o 2 times
o 3 times
o 4 times
o 5 or more times
18. [IF Q17 = 1: When did it occur? / IF Q17 = 2 OR MORE: Please think about the most recent time this
occurred. When was this most recent time?]
o Before [FILL MONTH: CURRENT MONTH - 12 MONTHS] [YEAR] {Skip to Sexual Assault
Victimization Screener.}
o [FILL MONTH: CURRENT MONTH - 11 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 10 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 9 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 8 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 7 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 6 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 5 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 4 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 3 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 2 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 1 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH] [YEAR]
o

Don’t know

5

19. {If Q18 = Don’t know or missing} Your response to this question is very important. Please think about
the [IF Q17 = 1: time / IF Q17 = 2 OR MORE: most recent time] someone did these things to you.
What is your best estimate of when it happened?
o Before [FILL MONTH: CURRENT MONTH] [YEAR - 1] {Skip to Sexual Assault Victimization
Screener.}
o Between [CURRENT MONTH] [YEAR - 1] and [CURRENT MONTH – 6 MONTHS] [YEAR]
o Between [CURRENT MONTH – 6 MONTHS] and today
20. In the past 12 months (since [DATE]), has anyone pressured you into having sexual contact with them
by:
• Threatening to tell lies or spread rumors about you,
• Threatening to break up with you or end your relationship,
• Making promises you knew or discovered were untrue, or
• Continually verbally pressuring you after you said you didn’t want to?
o Yes
o No

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B. Sexual Assault Victimization Screener
This section asks about times when you may have experienced unwanted sexual contact. In these
questions, unwanted sexual contact is sexual contact that you did not consent to and that you did not
want to happen. Remember that you may skip any question or stop the survey at any time if you feel
uncomfortable.
Please check off each point below as you read through these descriptions to indicate that you have
read each definition. For the purposes of this survey, unwanted sexual contact can happen when:
□ Someone touches or grabs your sexual body parts (such as butt, crotch, genitals, or breasts) and
you did not want it to happen;
□ Someone ignores you when you say “no” or just does it when they know you don’t want them
to;
□ Someone threatens to hurt you, or someone or something you care about;
□ Someone uses force against you, such as holding you down with their body weight, pinning your
arms, or hitting or kicking you; or
□ You are unable to provide consent because you are incapacitated, passed out, unconscious,
blacked out, or asleep. This can happen after you voluntarily used alcohol, marijuana, or other
drugs, or after you were given a drug without your knowledge or consent.
Please keep in mind that anyone, regardless of sex or sexual orientation, can experience unwanted sexual
contact. Also, the person(s) who did this could have been anyone, including current or former dating
partners, other people you knew, or complete strangers.
21. In the past 12 months (since [DATE]), has anyone had the following types of unwanted sexual contact
with you (that is, sexual contact that you did not consent to and that you did not want to happen)?
Yes No
Forced physical contact that is sexual (forced kissing, clothing removal, or
touching/grabbing of sexual body parts, even if over one’s clothes. Sexual body parts
include someone’s butt, crotch, genitals, or breasts.)?
Oral sexual contact (that is, mouth or tongue making contact with genitals)?
Vaginal or anal sexual contact (that is, penetration of a vagina or anus with a finger,
penis, or object)?
{If all of Q21 = No, Skip to Stalking Victimization Screener.}
22. {If Q21 = Yes} How many different times has someone had unwanted sexual contact with you in the
past 12 months (since [DATE])?
o 1 time
o 2 times
o 3 times
o 4 times
o 5 or more times
23. [IF Q22 = 1: When did it occur? / IF Q22 = 2 OR MORE: Please think about the most recent time this
occurred. When was this most recent time?]
o Before [FILL MONTH: CURRENT MONTH - 12 MONTHS] [YEAR] {Skip to Stalking
Victimization Screener.}
o [FILL MONTH: CURRENT MONTH - 11 MONTHS] [YEAR]
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o
o
o
o
o
o
o
o
o
o
o

[FILL MONTH: CURRENT MONTH - 10 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 9 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 8 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 7 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 6 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 5 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 4 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 3 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 2 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH - 1 MONTHS] [YEAR]
[FILL MONTH: CURRENT MONTH] [YEAR]

o

Don’t know

24. {If Q23 = Don’t know or missing} Your response to this question is very important. Please think about
the [IF Q22 = 1: time / IF Q22 = 2 OR MORE: most recent time] someone had unwanted sexual
contact with you. What is your best estimate of when it happened?
o Before [FILL MONTH: CURRENT MONTH] [YEAR - 1] {Skip to Stalking Victimization
Screener.}
o Between [CURRENT MONTH] [YEAR - 1] and [CURRENT MONTH – 6 MONTHS] [YEAR]
o Between [CURRENT MONTH – 6 MONTHS] and today
25. [IF Q22 = 2 OR MORE AND Q21 = 2+ TYPES OF CONTACT: During the most recent time, which of the
following types of unwanted sexual contact did someone have with you?] Please select all that apply,
and remember, “unwanted sexual contact” is sexual contact that you did not consent to and that you
did not want to happen.
Forced physical contact that is sexual (forced kissing, clothing removal, or
touching/grabbing of sexual body parts, even if over one’s clothes. Sexual body parts
include someone’s butt, crotch, genitals, or breasts.)
Oral sexual contact (that is, mouth or tongue making contact with genitals)
Vaginal or anal sexual contact (that is, penetration of a vagina or anus with a finger,
penis, or object)
26. [IF Q22 = 1: When / IF Q22 = 2 OR MORE: The most recent time] you experienced unwanted sexual
contact, did any of the following things happen?
Yes No Unsure
They ignored you when you said "no" or just did it when they knew you didn’t
want them to
They threatened to hurt you or someone you care about
They used physical force against you, such as holding you down with their
body weight, pinning your arms, strangling or choking you, or hitting or
kicking you
You were unable to provide consent or stop what was happening because you
were incapacitated, passed out, unconscious, blacked out, or asleep
Something else (please describe):

12

[IF ANY ITEMS IN Q26 ARE BLANK]: Your responses to this question are very important. Please select
a response for each item.

13

C. Stalking Victimization Screener
This section asks about times when someone repeatedly contacted you or did things that caused you
emotional distress or made you fear for your personal safety. The person(s) who did this could have been
anyone, including current or former dating partners, other people you knew, or complete strangers, but
please do not include bill collectors, solicitors, or salespeople.
27. In the past 12 months (since [DATE]), has someone repeatedly caused you emotional distress or
made you fear for your personal safety by doing any of the following things?
Yes No
Following you around or watching you
Waiting for you, showing up, or riding by your home, work, school, or any place else
when you didn’t want them to
Sneaking into your home, dorm, car, or any other place and doing unwanted things to
let you know they had been there
Leaving or sending unwanted items, such as cards, letters, presents, or flowers
Harassing you or repeatedly asking your friends or family for information about you or
your whereabouts
Making unwanted phone calls to you, leaving voice messages, sending text messages,
or using the phone to contact you excessively
Sending you unwanted e-mails or messages through the Internet, social media apps, or
websites like Instagram, TikTok, Snapchat, X (Twitter), Facebook, Bumble, Kik, Grindr,
Tinder, WhatsApp, or Hinge
Using technologies such as a listening device, camera, computer or cell phone
monitoring software, or GPS tracking device to spy on you or monitor your activities or
location
Spying on you or monitoring your activities or location through social media apps like
Instagram, TikTok, Snapchat, X (Twitter), Facebook, Bumble, Kik, Grindr, Tinder,
WhatsApp, or Hinge
{If all Q27 = No, skip to Dating Violence/Domestic Violence Victimization Screener.}
28. {If Q27 = Yes} How many different times have you experienced these things in the past 12 months
(since [DATE])?
o 1 time
o 2 times
o 3 times
o 4 times
o 5 or more times
29. [IF Q28 = 1: When did it occur? / IF Q28 = 2 OR MORE: “Please think about the most recent time this
occurred. When was this most recent time?]
o Before [FILL MONTH: CURRENT MONTH - 12 MONTHS] [YEAR] {Skip to Dating
Violence/Domestic Violence Victimization Screener.}
o [FILL MONTH: CURRENT MONTH - 11 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 10 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 9 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 8 MONTHS] [YEAR]
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o [FILL MONTH: CURRENT MONTH - 7 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 6 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 5 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 4 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 3 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 2 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 1 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH] [YEAR]
o

Don’t know

30. {If Q29 = Don’t know or missing} Your response to this question is very important. Please think about
the [IF Q28 = 1: time / IF Q28 = 2 OR MORE: most recent time] someone did these things to you.
What is your best estimate of when it happened?
o Before [FILL MONTH: CURRENT MONTH] [YEAR - 1] [YEAR]
o Between [CURRENT MONTH] [YEAR - 1] and [CURRENT MONTH – 6 MONTHS] [YEAR]
o Between [CURRENT MONTH – 6 MONTHS] and today

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D. Dating Violence/Domestic Violence Victimization Screener
31. Have you ever been in a romantic or dating relationship, such as a casual relationship, hook-up,
steady or serious relationship, cohabitation, domestic partnership, civil union, or marriage?
o Yes
o No {Skip to first follow-up module that respondent screened into. If none, skip to
randomized modules.}
People can treat their romantic or dating partners in many different ways, and this section asks about
things your romantic or dating partners may have done to you during the past 12 months. This can
include current or former partners, regardless of length and seriousness of the relationship.
As you answer the questions, please do not include times you knew the other person was just joking
around. Remember that you may skip any question or stop the survey at any time if it makes you
uncomfortable.
32. {If Q31 = Yes} In the past 12 months (since [DATE]), has a current or former romantic or dating
partner of yours done the following things to you?
Looked at you or used other nonverbal signals to make you think or feel like they might
hurt you
Threatened to hurt or attack you, someone or something you care about, or themselves,
and you thought they would really follow through with the threat
Pushed, grabbed, or shook you, and they were not joking around
Bent your fingers or twisted your arm until it hurt
Threw something at you, such as a rock or a bottle
Burned, hit, punched, kicked, or slapped you
Strangled or choked you
Used, or threatened to use, a gun against you
Used, or threatened to use, another type of weapon against you
Intentionally embarrassed, humiliated, insulted, or made fun of you in front of other
people
Stole or destroyed your property
Threatened to end your relationship or commit suicide to get you to do what they wanted,
and they were not joking around
Controlled you (such as keeping you from seeing or talking to your family or friends,
keeping track of you by demanding to know where you were and what you were doing, or
making decisions for you, such as where you went or what you wore or ate)
Used the internet, social media, or a cell phone to monitor your whereabouts and
activities
Looked at your private information (such as text messages, emails, etc.) to check up on
you
Shared an embarrassing or private sexual photo or video of you without your permission
and you didn’t want them to. This could include deepfakes, or AI-generated videos or
images
Took or withheld money or demanded to know how money was spent

16

Yes No

Did things to keep you from going out or to your job or classes (such as starting a fight to
make you late, taking your keys, or blocking the door)
Hid, took, or tampered with your birth control in an effort to sabotage your contraception
Pressured you to get pregnant
Pressured you to end a pregnancy or get an abortion
{If all Q32 = No, skip to first follow-up module that respondent screened into. If none, skip to
randomized modules.}
33. {If yes to any in Q32} You said a romantic or dating partner did the following things:
• [POPULATE BULLETED LIST OF Q32 ITEMS ENDORSED]
How many different times have these things been done to you in the past 12 months (since
[DATE])?
o 1 time
o 2 times
o 3 times
o 4 times
o 5 or more times
34. [IF Q33 = 1: When did it occur? / IF Q33 = 2 OR MORE: Please think about the most recent time this
occurred. When was this most recent time?]
o Before [FILL MONTH: CURRENT MONTH - 12 MONTHS] [YEAR] {Skip to first follow-up
module that respondent screened into. If none, skip to randomized modules.}
o [FILL MONTH: CURRENT MONTH - 11 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 10 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 9 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 8 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 7 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 6 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 5 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 4 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 3 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 2 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH - 1 MONTHS] [YEAR]
o [FILL MONTH: CURRENT MONTH] [YEAR]
o

Don’t know

35. {If Q34 = Don’t know or missing} Your response to this question is very important. Please think about
the [IF Q33 = 1: time / IF Q33 = 2 OR MORE: most recent time] someone did these things to you.
What is your best estimate of when it happened?
o Before [FILL MONTH: CURRENT MONTH] [YEAR - 1] [YEAR]
o Between [CURRENT MONTH] [YEAR - 1] and [CURRENT MONTH – 6 MONTHS] [YEAR]
o Between [CURRENT MONTH – 6 MONTHS] and today

17

{Skip to first follow-up module that respondent screened into. If none, skip to randomized
modules.}

You have completed Section 2 of 5

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3. Victimization Follow-ups
[If a respondent experienced more than two victimization types, we plan to limit the number of
victimization types someone would receive detailed follow-up questions about to two. We will likely do
this randomly, although we might prioritize including some of the less common victimization types, such
as sexual assault and stalking.]

A. Sexual Harassment Follow-Ups
36. {If yes to any in Q14, Q15, or Q16} Earlier in the survey, you said the following things have happened
to you in the past 12 months:
• [POPULATE BULLETED LIST OF Q14, Q15, AND Q16 ITEMS ENDORSED. FOR Q14 and Q15
ITEMS, INCLUDE “Someone” AT THE BEGINNING OF THE FILL (such as “Someone made
inappropriate or offensive comments…”). FOR Q16 ITEMS, INCLUDE “Someone in a position of
authority over you” AT THE BEGINNING OF THE FILL (such as “Someone in a position of
authority over you promised you better treatment…”.]
When answering the next questions, please think about the [IF Q17 = 2 OR MORE: most
recent] time someone did [IF ONE ITEM LISTED: this / IF 2+ ITEMS LISTED: one or more of these
things] to you [IF MONTH SELECTED IN Q18: (in [MONTH] [YEAR]) / ELSE IF RANGE PROVIDED IN
Q19: (between [RANGE]) / ELSE IF Q17 = 2 OR MORE: FILL IS EMPTY].
Where did this occur?
o On campus
o Off campus
o Virtually (that is, not in-person)
37. {If Q36 = On campus} Where did this occur on campus?
o Residence hall or dormitory
o Fraternity house or affiliated location
o Sorority house or affiliated location
o Other school-sponsored, on-campus housing (such as apartment or house)
o Classroom, library, lab, or other academic or administrative space or office
o Gym or athletic facility
o Cafeteria or restaurant
o Parking lot, street, or other outdoor space
o Other (please specify):
38. {If Q36 = Off campus} Where did this occur off campus?
o A privately operated residence hall or dorm not sponsored by [SCHOOL]
o An off-campus fraternity or sorority house
o An apartment or house that is sponsored by [SCHOOL]
o An apartment or house that is not sponsored by [SCHOOL]
o Restaurant/bar/club
o Parking lot, street, or other outdoor space
o Other (please specify):

19

39. Did this happen when you were…
{If Q36 = On campus} At an official sporting event on the [SCHOOL] campus?
{If Q36 = Off campus} At an official sporting event not on the [SCHOOL] campus?
{If Q36 = On campus} At a party on the [SCHOOL] campus?
{If Q36 = Off campus} At a party not on the [SCHOOL] campus?
{If Q36 = On campus} Hanging out with one or a few people on the [SCHOOL] campus?
{If Q36 = Off campus} Hanging out with one or a few people not on the [SCHOOL]
campus?

Yes No

40. {If Q36 = Virtually} Where did this occur virtually?
o Text or direct message (DM)
o Email
o Video chat (FaceTime, Zoom, etc.)
o Social media
o Dating app
o Other (please specify):
41. How many different people did this to you [IF Q17 = 2 OR MORE: this most recent time]?
o 1 person
o 2 or more people
42. [IF Q41 = 1: Who was this person / If Q41 = 2 OR MORE: Who were these people]? Please select all
that apply.
A total stranger
A student whom you recognized but did not know
A dating partner, boyfriend/girlfriend, or spouse (current or former)
Someone you are/were seeing casually
An acquaintance, friend of a friend, or someone you met recently
A friend, classmate, or roommate (current or former)
A teaching assistant or research/lab manager
A professor
Another type of school staff member
A parent, step-parent, or foster parent
A sibling, step-sibling, or foster sibling (such as a brother or sister)
Some other relative
Other (please specify):
Don’t know
43. [IF Q41 = 1: Was this person… / If Q41 = 2 OR MORE: Were any of these people…] a student at or an
employee of [SCHOOL]?
o Yes
o No
o

Don’t know

20

44. {If Q41 = 1 person} Was the person male or female? {radio button question}
o Male
o Female
o

Don’t know

45. {If Q41 = 2 or more people} Were they male or female? {radio button question}
o All were male
o All were female
o Mix of male and female
o

Don’t know

46. Have you notified or reached out to the following people for assistance or support regarding what
happened?
Yes No
A friend, roommate, or classmate
A family member
A dating partner (such as girlfriend/boyfriend, spouse, significant other)
Other (please specify):
47. Have you or someone else notified or reached out to the following people, groups, or organizations
at [SCHOOL NAME] for assistance or support regarding what happened? Please select all that apply.
Yes,
Yes, I
someone No, no
did
one did
else did
A faculty member, administrator, teaching/research assistant,
or staff member
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
A hospital, health care center, or doctor’s office on campus
Crisis, victim, or advocacy services or center on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Other (please specify):
48. Have you or someone else notified or reached out to the following people, groups, or organizations
outside of [SCHOOL NAME] (that is, not at [SCHOOL NAME]) for assistance or support regarding
what happened? Please select all that apply.
Yes,
No, no
someone
one did
Yes, I did
else did
A crisis hotline or helpline
Crisis, victim, or advocacy services or center
21

A hospital, health care center, or doctor’s office
Counseling or psychological services
Local police, such as the city, county, or tribal police
department
Other (please specify):

{If none in Q47 or Q48 = “Yes, I did”, skip to Q50}
49. {If any in Q47 or Q48 = “Yes, I did” or “Yes, someone else did”. Loop through for each “Yes, I did” or
“Yes, someone else did” responses.} When you or someone else notified or reached out to [LOOP:
FILL GROUP FROM Q46/Q47/48] about what happened…
Yes No
Were they helpful?
Did they respond quickly enough?
Did they treat you with respect?
Did they tell you about different services or resources that are available to you?
Did they try to discourage you from telling anyone else?
Were you satisfied with what they did?
Would you recommend them to someone else who experienced the same things as
you?
50. {If none in Q46 or Q47 = “Yes, I did”} You said that you did not notify or reach out to the following
people, groups, or organizations about what happened:
[DISPLAY ITEMS NOT ANSWERED “YES, I DID” IN Q46 AND Q47 IN BULLET FORM. DO NOT DISPLAY
“OTHER” OPTION.]
At [SCHOOL NAME]:
• A faculty member, administrator, teaching/research assistant, or staff member
• A Resident Advisor (RA) or other Residence Life staff member
• Counseling or psychological services at [SCHOOL NAME]
• A hospital, health care center, or doctor’s office on campus
• Crisis, victim, or advocacy services or center on campus
• [SCHOOL NAME] Title IX Office
• [SCHOOL NAME] campus security or police department
Outside [SCHOOL NAME]:
• A crisis hotline or helpline
• Crisis, victim, or advocacy services center
• A hospital, health care center, or doctor’s office
• Counseling or psychological services
• Local police, such as the city, county, or tribal police department

22

There are many reasons why students might not seek assistance from or tell certain people, groups,
or organizations when they have experienced something like what you experienced. Which of the
following are reasons why you did not tell or contact these people, groups, or organizations? Please
select all that apply.
You did not know they existed or didn’t know how to contact them
You thought they would not keep your situation private or didn’t trust them
You thought you would be treated poorly or not believed
You thought that nothing would happen
You did not think they would be accepting of your identity/background (such as race,
sex, sexual orientation)
Could not take time off of work or school
You did not think it was serious or important enough to report
You did not want any action taken
You did not need any assistance
You had already sought assistance elsewhere
You did not want the [IF Q41 = 1: person / IF Q41 = 2 OR MORE: people] who did it to get
in trouble or face harsh consequences
You wanted to try to forget it had happened or try to move on
You thought other people might think it was at least partly your fault
You thought you might get in trouble or face some type of consequence
Other (please specify):
51. {If yes to any in Q47 or Q48} When you or someone else sought assistance or told people, groups, or
organizations about what happened, was an investigation started?
o Yes
o No
o

Don’t know

52. {If Q51 = Yes} Who started the investigation? Please select all that apply.
A faculty member, administrator, teaching/research assistant, or staff member at
[SCHOOL NAME]
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
Health center or health care provider on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Local police not at [SCHOOL NAME], such as the city, county, or tribal police department
Other (please specify):
53. {If Q51 = Yes} Is the investigation over?
o Yes
o No
o

Don’t know

23

54. {If Q53 = Yes} What was the final decision or outcome of the investigation?
55. {If Q51 = Yes} Are you satisfied with how the investigation [IF Q53 = YES: was / IF Q53 = NO: has been
/ IF Q53 = MISSING: has been or was] conducted?
o Yes
o No (please explain):

56. Did what happened to you lead you to have serious problems with any of the following?
Schoolwork or your grades (such as missing or being late to class, having trouble
concentrating, or not completing assignments)
Class participation (such as less classroom engagement and communication)
School enrollment (such as taking time off from school, not finishing a semester)
Participation in extracurricular activities (such as teams, clubs)
Friends, roommates, or peers (such as getting into more arguments or fights than you
did before, not feeling you could trust them as much, or not feeling as close to them as
you did before)
Family members (such as getting into more arguments or fights than you did before,
not feeling you could trust them as much, or not feeling as close to them as you did
before)
Your job, or your boss or coworkers
Social media (such as bullying by others, others posting about what happened online,
negative posts or comments about you)
Housing (such as moving or changing where you live)
Finances (such as with financial aid, scholarship, work study, credit score, paying for
rent or food)
57. Did what happened cause you to have any of the following problems?
Fearfulness or being concerned about your safety
Loss of interest in daily activities or being around other people
Nightmares or trouble sleeping
Feeling emotionally numb or detached
Difficulty concentrating
Lower self-esteem, anxiety, or depression
Thoughts of suicide or harming yourself
Eating problems or eating disorders, or concerns about your body image
Headaches or stomach aches
Drug or alcohol misuse

24

Yes No

Yes No

58. Before moving on to the next section, is there anything else you would like us to know about what
happened or your experiences getting support or resources afterward? Please use the space below
to enter your thoughts, but do not include any names or other personally identifying information. As
a reminder, all questions are voluntary.

{Skip to next follow-up module that respondent screened into. If no others, skip to randomized
modules.}

25

B. Sexual Assault Follow-Ups
59. {If Q21 = Yes} Earlier in the survey, you said that in the past 12 months (since [DATE]), someone had
unwanted sexual contact with you (that is, sexual contact that you did not consent to and that you
did not want to happen).
When answering the next questions, please think about the [IF Q22 = 2 OR MORE: most recent]
time someone did this to you [IF MONTH SELECTED IN Q23: (in [MONTH] [YEAR]) / ELSE IF RANGE
PROVIDED IN Q24: (between [RANGE]) / ELSE IF Q22 = 2 OR MORE: FILL IS EMPTY].
Where did this occur?
o On campus
o Off campus
60. {If Q59 = On campus} Where did this occur on campus?
o Residence hall or dormitory
o Fraternity house or affiliated location
o Sorority house or affiliated location
o Other school-sponsored, on-campus housing (such as apartment or house)
o Classroom, library, lab, or other academic or administrative space or office
o Gym or athletic facility
o Parking lot or other outdoor space
o Cafeteria or restaurant
o Other (please specify):
61. {If Q59 = Off campus} Where did this occur off campus?
o A privately operated residence hall or dorm not sponsored by [SCHOOL]
o An off-campus fraternity or sorority house
o An apartment or house that is sponsored by [SCHOOL]
o An apartment or house that is not sponsored by [SCHOOL]o
o Restaurant/bar/club
o Other (please specify):
62. Did this happen when you were…
{If Q59 = On campus} At an official sporting event on the [SCHOOL] campus?
{If Q59 = Off campus} At an official sporting event not on the [SCHOOL] campus?
{If Q59 = On campus} At a party on the [SCHOOL] campus?
{If Q59 = Off campus} At a party not on the [SCHOOL] campus?
{If Q59 = On campus} Hanging out with one or a few people on the [SCHOOL]
campus?
{If Q59 = Off campus} Hanging out with one or a few people not on the [SCHOOL]
campus?
63. How many different people did this to you [IF Q22 = 2 OR MORE: this most recent time]?
o 1 person
o 2 or more people
26

Yes No

64. [IF Q63 = 1: Who was this person / If Q63 = 2 OR MORE: Who were these people]? Please select all
that apply.
A total stranger
A student whom you recognized but did not know
A dating partner, boyfriend/girlfriend, or spouse (current or former)
Someone you are/were seeing casually
An acquaintance, friend of a friend, or someone you met recently
A friend, classmate, or roommate (current or former)
A teaching assistant or research/lab manager
A professor
Another type of school staff member
A parent, step-parent, or foster parent
A sibling, step-sibling, or foster sibling (such as a brother or sister)
Some other relative
Other (please specify):
Don’t know
65. [IF Q63 = 1: Was this person… / If Q63 = 2 OR MORE: Were any of these people…] a student at or an
employee of [SCHOOL]?
o Yes
o No
o

Don’t know

66. {If Q63 = 1 person} Was the person male or female? {radio button question}
o Male
o Female
o

Don’t know

67. {If Q63 = 2 or more people} Were they male or female? {radio button question}
o All were male
o All were female
o Mix of male and female
o

Don’t know

68. Had [IF Q63 = 1: this person / IF Q63 = 2 OR MORE: any of these people] been drinking alcohol, using
marijuana, or taking other drugs in the hours before or during what happened?
o Yes
o No
o

Don’t know

27

69. Had you been drinking alcohol, using marijuana, or taking other drugs in the hours before or during
what happened? Please keep in mind that you are not responsible for what happened, even if you
had been drinking or using drugs. Remember that your answers will remain completely confidential.
o Yes
o No
70. Do you think you were given a drug without your knowledge or consent in the hours before or
during what happened? If you are unsure, you may select “Don’t know.”
o Yes
o No
o

Don’t know

71. Have you notified or reached out to the following people for assistance or support regarding what
happened?
Yes No
A friend, roommate, or classmate
A family member
A dating partner (such as girlfriend/boyfriend, spouse, significant other)
Other (please specify):
72. Have you or someone else notified or reached out to the following people, groups, or organizations
at [SCHOOL NAME] for assistance or support regarding what happened? Please select all that apply.
Yes,
No, no
someone
one did
Yes, I did
else did
A faculty member, administrator, teaching/research
assistant, or staff member
A Resident Advisor (RA) or other Residence Life staff
member
Counseling or psychological services at [SCHOOL NAME]
A hospital, health care center, or doctor’s office on
campus
Crisis, victim, or advocacy services or center on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Other (please specify):
73. Have you or someone else notified or reached out to the following people, groups, or organizations
outside of [SCHOOL NAME] (that is, not at [SCHOOL NAME]) for assistance or support regarding
what happened? Please select all that apply.
Yes,
No, no
someone
one
did
Yes, I did
else did
A crisis hotline or helpline
28

Crisis, victim, or advocacy services or center
A hospital, health care center, or doctor’s office
Counseling or psychological services
Local police, such as the city, county, or tribal police
department
Other (please specify):

{If none in Q72 or Q73 = “Yes, I did”, skip to Q75}
74. {If any in Q72 or Q73 = “Yes, I did” or “Yes, someone else did”. Loop through for each “Yes, I did” or
“Yes, someone else did” responses.} When you or someone else notified or reached out to [LOOP:
FILL GROUP FROM Q71/Q72/73] about what happened…
Yes No
Were they helpful?
Did they respond quickly enough?
Did they treat you with respect?
Did they tell you about different services or resources that are available to you?
Did they try to discourage you from telling anyone else?
Were you satisfied with what they did?
Would you recommend them to someone else who experienced the same things as
you?
75. {If none in Q72 or Q73 = “Yes, I did”} You said that you did not notify or reach out to the following
people, groups, or organizations about what happened:
[DISPLAY ITEMS NOT ANSWERED “YES, I DID” IN Q72 and Q73 IN BULLET FORM. DO NOT DISPLAY
“OTHER” OPTION.]
At [SCHOOL NAME]:
• A faculty member, administrator, teaching/research assistant, or staff member
• A Resident Advisor (RA) or other Residence Life staff member
• Counseling or psychological services at [SCHOOL NAME]
• A hospital, health care center, or doctor’s office on campus
• Crisis, victim, or advocacy services or center on campus
• [SCHOOL NAME] Title IX Office
• [SCHOOL NAME] campus security or police department
Outside [SCHOOL NAME]:
• A crisis hotline or helpline
• Crisis, victim, or advocacy services center
• A hospital, health care center, or doctor’s office
• Counseling or psychological services
• Local police, such as the city, county, or tribal police department

29

There are many reasons why students might not seek assistance from or tell certain people, groups,
or organizations when they have experienced something like what you experienced. Which of the
following are reasons why you did not tell or contact these people, groups, or organizations? Please
select all that apply.
You did not know they existed or didn’t know how to contact them
You thought they would not keep your situation private or didn’t trust them
You thought you would be treated poorly or not believed
You thought that nothing would happen
You did not think they would be accepting of your identity/background (such as race,
sex, sexual orientation)
Could not take time off of work or school
You did not think it was serious or important enough to report
You did not want any action taken
You did not need any assistance
You had already sought assistance elsewhere
You did not want the [IF Q41 = 1: person / IF Q41 = 2 OR MORE: people] who did it to get
in trouble or face harsh consequences
You wanted to try to forget it had happened or try to move on
You thought other people might think it was at least partly your fault
You thought you might get in trouble or face some type of consequence
Other (please specify):
76. {If yes to any in Q72 or Q73} When you or someone else sought assistance or told people, groups, or
organizations about what happened, was an investigation started?
o Yes
o No
o

Don’t know

77. {If Q76 = Yes} Who started the investigation? Please select all that apply.
A faculty member, administrator, teaching/research assistant, or staff member at
[SCHOOL NAME]
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
Health center or health care provider on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Local police not at [SCHOOL NAME], such as the city, county, or tribal police department
Other (please specify):
78. {If Q76 = Yes} Is the investigation over?
o Yes
o No
o

Don’t know

79. {If Q78 = Yes} What was the final decision or outcome of the investigation?
30

80. {If Q76 = Yes} Are you satisfied with how the investigation [IF Q78 = YES: was / IF Q78 = NO: has been
/ IF Q78 = MISSING: has been or was] conducted?
o Yes
o No (If no, please explain):

81. [IF Q22 = 1: When / IF Q22 = 2 OR MORE: The most recent time] someone had unwanted sexual
contact with you [IF MONTH SELECTED IN Q23: (in [MONTH] [YEAR]) / ELSE IF RANGE PROVIDED IN
Q24: (between [RANGE]) / ELSE IF Q22 = 2 OR MORE: FILL IS EMPTY], did you experience any of the
following injuries or other things?
Yes No
Bruises, black eye, cuts, scratches, or swelling
Chipped or knocked out teeth
Broken bones, including a broken nose
Concussion
Internal injury from the sexual contact (such as vaginal or anal tearing)
Sexually transmitted infections or diseases
Pregnancy
Other (please specify):
82. Did what happened lead you to have serious problems with any of the following?
Schoolwork or your grades (such as missing or being late to class, having trouble
concentrating, or not completing assignments)
Class participation (such as less classroom engagement and communication)
School enrollment (such as taking time off from school, not finishing a semester)
Participation in extracurricular activities (such as teams, clubs)
Friends, roommates, or peers (such as getting into more arguments or fights than you
did before, not feeling you could trust them as much, or not feeling as close to them as
you did before)
Family members (such as getting into more arguments or fights than you did before,
not feeling you could trust them as much, or not feeling as close to them as you did
before)
Your job, or your boss or coworkers
Social media (such as bullying by others, others posting about what happened online,
negative posts or comments about you)
Housing (such as moving or changing where you live)
Finances (such as with financial aid, scholarship, work study, credit score, paying for
rent or food)
83. Did what happened cause you to have any of the following problems?
31

Yes No

Fearfulness or being concerned about your safety
Loss of interest in daily activities or being around other people
Nightmares or trouble sleeping
Feeling emotionally numb or detached
Difficulty concentrating
Lower self-esteem, anxiety, or depression
Thoughts of suicide or harming yourself
Eating problems or eating disorders, or concerns about your body image
Headaches or stomach aches
Drug or alcohol misuse

Yes No

84. Before moving on to the next section, is there anything else you would like us to know about what
happened or your experiences getting support or resources afterward? Please use the space below
to enter your thoughts, but do not include any names or other personally identifying information. As
a reminder, all questions are voluntary.

{Skip to next follow-up module that respondent screened into. If no others, skip to randomized
modules.}

32

C. Stalking Follow-Ups
85. {If yes to any in Q27} Earlier in the survey, you said that in the past 12 months (since [DATE]),
someone or a group of people acting together caused you emotional distress or made you fear for
your personal safety by doing the following things more than once:
• [POPULATE BULLETED LIST OF Q27 ITEMS ENDORSED]
When answering the next questions, please think about the [IF Q28 = 2 OR MORE: most
recent] time someone did [IF ONE ITEM LISTED: this / IF 2+ ITEMS LISTED: one or more of these
things] to you [IF MONTH SELECTED IN Q29: (in [MONTH] [YEAR]) / ELSE IF RANGE PROVIDED IN
Q30: (between [RANGE]) / ELSE IF Q28 = 2 OR MORE: FILL IS EMPTY].
Where did this occur?
o On campus
o Off campus
o Virtually (that is, not in-person)
86. {If Q85 = On campus} Where did this occur on campus?
o Residence hall or dormitory
o Fraternity house or affiliated location
o Sorority house or affiliated location
o Other school-sponsored, on-campus housing (such as apartment or house)
o Classroom, library, lab, or other academic or administrative space or office
o Gym or athletic facility
o Parking lot or other outdoor space
o Cafeteria or restaurant
o Other (please specify):
87. {If Q85 = Off campus} Where did this occur off campus?
o A privately operated residence hall or dorm not sponsored by [SCHOOL]
o An off-campus fraternity or sorority house
o An apartment or house that is sponsored by [SCHOOL]
o An apartment or house that is not sponsored by [SCHOOL]o
o Restaurant/bar/club
o Other (please specify):
88. Did this happen when you were…
{If Q85 = On campus} At an official sporting event on the [SCHOOL] campus?
{If Q85 = Off campus} At an official sporting event not on the [SCHOOL] campus?
{If Q85 = On campus} At a party on the [SCHOOL] campus?
{If Q85 = Off campus} At a party not on the [SCHOOL] campus?
{If Q85 = On campus} Hanging out with one or a few people on the [SCHOOL] campus?
{If Q85 = Off campus} Hanging out with one or a few people not on the [SCHOOL]
campus?
89. {If Q85 = Virtually} Where did this occur virtually? Please select all that apply.
33

Yes No

Text or direct message (DM)
Email
Video chat (FaceTime, Zoom, etc.)
Social media
Dating app
Other (please specify):
90. How many different people did this to you [IF Q28 = 2 OR MORE: this most recent time]?
o 1 person
o 2 or more people
91. [IF Q90 = 1: Who was this person / If Q90 = 2 OR MORE: Who were these people]? Please select all
that apply.
A total stranger
A student whom you recognized but did not know
A dating partner, boyfriend/girlfriend, or spouse (current or former)
Someone you are/were seeing casually
An acquaintance, friend of a friend, or someone you met recently
A friend, classmate, or roommate (current or former)
A teaching assistant or research/lab manager
A professor
Another type of school staff member
A parent, step-parent, or foster parent
A sibling, step-sibling, or foster sibling (such as a brother or sister)
Some other relative
Other (please specify):
Don’t know
92. [IF Q90 = 1: Was this person… / If Q90 = 2 OR MORE: Were any of these people…] a student at or an
employee of [SCHOOL]? Please select all that apply.
Yes
No
Don’t know
93. {If Q90 = 1 person} Was the person male or female? {radio button question}
o Male
o Female
o

Don’t know

94. {If Q90 = 2 or more people} Were they male or female? {radio button question}
o All were male
o All were female

34

95.

o

Mix of male and female

o

Don’t know

Have you notified or reached out to the following people for assistance or support regarding what
happened?
Yes No
A friend, roommate, or classmate
A family member
A dating partner (such as girlfriend/boyfriend, spouse, significant other)
Other (please specify):

96.

Have you or someone else notified or reached out to the following people, groups, or organizations
at [SCHOOL NAME] for assistance or support regarding what happened? Please select all that apply.

A faculty member, administrator, teaching/research
assistant, or staff member
A Resident Advisor (RA) or other Residence Life staff
member
Counseling or psychological services at [SCHOOL NAME]
A hospital, health care center, or doctor’s office on
campus
Crisis, victim, or advocacy services or center on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Other (please specify):
97.

Yes, I did

Yes,
someone
else did

No, no
one did

Have you or someone else notified or reached out to the following people, groups, or organizations
outside of [SCHOOL NAME] (that is, not at [SCHOOL NAME]) for assistance or support regarding
what happened? Please select all that apply.
Yes,
No, no
someone
one
did
Yes, I did
else did
A crisis hotline or helpline
Crisis, victim, or advocacy services or center
A hospital, health care center, or doctor’s office
Counseling or psychological services
Local police, such as the city, county, or tribal police
department

35

Other (please specify):

{If none in Q96 or Q97 = “Yes, I did”, skip to Q99}
98. {If any in Q96 or Q97 = “Yes, I did” or “Yes, someone else did”. Loop through for each “Yes, I did” or
“Yes, someone else did” responses.} When you or someone else notified or reached out to [LOOP:
FILL GROUP FROM Q95/Q96/97] about what happened…
Yes No
Were they helpful?
Did they respond quickly enough?
Did they treat you with respect?
Did they tell you about different services or resources that are available to you?
Did they try to discourage you from telling anyone else?
Were you satisfied with what they did?
Would you recommend them to someone else who experienced the same things as
you?
99.

{If none in Q96 or Q97 = “Yes, I did”} You said you did not seek assistance or tell the following people,
groups, or organizations about what happened:
[DISPLAY ITEMS NOT ANSWERED “YES, I DID” IN Q96 AND Q95 IN BULLET FORM. DO NOT
DISPLAY “OTHER” OPTION.]
At [SCHOOL NAME]:
• A faculty member, administrator, teaching/research assistant, or staff member
• A Resident Advisor (RA) or other Residence Life staff member
• Counseling or psychological services at [SCHOOL NAME]
• A hospital, health care center, or doctor’s office on campus
• Crisis, victim, or advocacy services or center on campus
• [SCHOOL NAME] Title IX Office
• [SCHOOL NAME] campus security or police department
Outside [SCHOOL NAME]:
• A crisis hotline or helpline
• Crisis, victim, or advocacy services center
• A hospital, health care center, or doctor’s office
• Counseling or psychological services
• Local police, such as the city, county, or tribal police department
There are many reasons why students might not seek assistance from or tell certain people, groups,
or organizations when they have experienced something like what you experienced. Which of the
following are reasons why you did not tell or contact these people, groups, or organizations? Please
select all that apply.
You did not know they existed or didn’t know how to contact them
You thought they would not keep your situation private or didn’t trust them
36

You thought you would be treated poorly or not believed
You thought that nothing would happen
You did not think they would be accepting of your identity/background (such as race,
sex, sexual orientation)
Could not take time off of work or school
You did not think it was serious or important enough to report
You did not want any action taken
You did not need any assistance
You had already sought assistance elsewhere
You did not want the [IF Q41 = 1: person / IF Q41 = 2 OR MORE: people] who did it to get
in trouble or face harsh consequences
You wanted to try to forget it had happened or try to move on
You thought other people might think it was at least partly your fault
You thought you might get in trouble or face some type of consequence
Other (please specify):
100. {If yes to any in Q96 or Q97} When you or someone else sought assistance or told people, groups, or
organizations about what happened, was an investigation started?
o Yes
o No
o

Don’t know

101. {If Q100 = Yes} Who started the investigation? Please select all that apply.
A faculty member, administrator, teaching/research assistant, or staff member at
[SCHOOL NAME]
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
Health center or health care provider on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Local police not at [SCHOOL NAME], such as the city, county, or tribal police department
Other (please specify):
102. {If Q100 = Yes} Is the investigation over?
o Yes
o No
o

Don’t know

103. {If Q102 = Yes} What was the final decision or outcome of the investigation?
104. {If Q100 = Yes} Are you satisfied with how the investigation [IF Q102 = YES: was / IF Q102 = NO: has
been / IF Q102 = MISSING: has been or was] conducted?
o Yes
37

o

No (If no, please explain):

105. Did what happened lead you to have serious problems with any of the following?
Schoolwork or your grades (such as missing or being late to class, having trouble
concentrating, or not completing assignments)
Class participation (such as less classroom engagement and communication)
School enrollment (such as taking time off from school, not finishing a semester)
Participation in extracurricular activities (such as teams, clubs)
Friends, roommates, or peers (such as getting into more arguments or fights than you
did before, not feeling you could trust them as much, or not feeling as close to them as
you did before)
Family members (such as getting into more arguments or fights than you did before,
not feeling you could trust them as much, or not feeling as close to them as you did
before)
Your job, or your boss or coworkers
Social media (such as bullying by others, others posting about the what happened
online, negative posts or comments about you)
Housing (such as moving or changing where you live)
Finances (such as with financial aid, scholarship, work study, credit score, paying for
rent or food)
106.

Did what happened cause you to have any of the following problems?
Fearfulness or being concerned about your safety
Loss of interest in daily activities or being around other people
Nightmares or trouble sleeping
Feeling emotionally numb or detached
Difficulty concentrating
Lower self-esteem, anxiety, or depression
Thoughts of suicide or harming yourself
Eating problems or eating disorders, or concerns about your body image
Headaches or stomach aches
Drug or alcohol misuse

Yes No

Yes No

107. Before moving on to the next section, is there anything else you would like us to know about
what happened or your experiences getting support or resources afterward? Please use the
space below to enter your thoughts, but do not include any names or other personally identifying
information. As a reminder, all questions are voluntary.

38

{Skip to next follow-up module that respondent screened into. If no others, skip to randomized
modules.}

39

D. Dating Violence Follow-Ups
108. {If yes to any in Q32} Earlier in the survey, you said that in the past 12 months (since [DATE]), a
romantic or dating partner did the following things:
• [POPULATE BULLETED LIST OF Q32 ITEMS ENDORSED]
When answering the next questions, please think about the [IF Q33 = 2 OR MORE: most
recent] time a romantic or dating partner did [IF ONE ITEM LISTED: this / IF 2+ ITEMS LISTED:
one or more of these things] to you [IF MONTH SELECTED IN Q34: (in [MONTH] [YEAR]) / ELSE IF
RANGE PROVIDED IN Q35: (between [RANGE]) / ELSE IF Q33 = 2 OR MORE: FILL IS EMPTY].
Where did this occur?
o On campus
o Off campus
o Virtually (that is, not in-person)
109. {If Q108 = On campus} Where did this occur on campus?
o Residence hall or dormitory
o Fraternity house or affiliated location
o Sorority house or affiliated location
o Other school-sponsored, on-campus housing (such as apartment or house)
o Classroom, library, lab, or other academic or administrative space or office
o Gym or athletic facility
o Parking lot or other outdoor space
o Cafeteria or restaurant
o Other (please specify):
110. {If Q108 = Off campus} Where did this occur off campus?
o A privately operated residence hall or dorm not sponsored by [SCHOOL]
o An off-campus fraternity or sorority house
o An apartment or house that is sponsored by [SCHOOL]
o An apartment or house that is not sponsored by [SCHOOL]
o Restaurant/bar/club
o Other (please specify):
111. Did this happen when you were…
{If Q108 = On campus} At an official sporting event on the [SCHOOL] campus?
{If Q108 = Off campus} At an official sporting event not on the [SCHOOL] campus?
{If Q108 = On campus} At a party on the [SCHOOL] campus?
{If Q108 = Off campus} At a party not on the [SCHOOL] campus?
{If Q108 = On campus} Hanging out with one or a few people on the [SCHOOL]
campus?
{If Q108 = Off campus} Hanging out with one or a few people not on the [SCHOOL]
campus?
112. {If Q108 = Virtually} Where did this occur virtually?
40

Yes No

o
o
o
o
o
o

Text or direct message (DM)
Email
Video chat (FaceTime, Zoom, etc.)
Social media
Dating app
Other (please specify):

113. How many different people did this to you [IF Q33 = 2 OR MORE: this most recent time]?
o 1 person
o 2 or more people
114. [IF Q113 = 1: Was this person… / If Q113 = 2 OR MORE: Were any of these people…] a student at or
an employee of [SCHOOL]? Please select all that apply.
Yes
No
Don’t know
115. {If Q113 = 1 person} Was the person male or female? {radio button question}
o Male
o Female
o

Don’t know

116. {If Q113 = 2 or more people} Were they male or female? {radio button question}
o All were male
o All were female
o Mix of male and female
o

Don’t know

117. Had [IF Q113 = 1: this person / IF Q113 = 2 OR MORE: any of these people] been drinking alcohol,
using marijuana, or taking other drugs in the hours before or during what happened?
o Yes
o No
o

Don’t know

118. Had you been drinking alcohol, using marijuana, or taking other drugs in the hours before or during
what happened? Please keep in mind that you are not responsible for what happened, even if you
had been drinking or using drugs. Remember that your answers will remain completely confidential.
o Yes
o No
119. Do you think you were given a drug without your knowledge or consent in the hours before or
during what happened? If you are unsure, you may select “Don’t know.”

41

o
o

Yes
No

o

Don’t know

120. Have you notified or reached out to the following people for assistance or support regarding what
happened?
Yes No
A friend, roommate, or classmate
A family member
A dating partner (such as girlfriend/boyfriend, spouse, significant other)
Other (please specify):
121. Have you or someone else notified or reached out to the following people, groups, or organizations
at [SCHOOL NAME] for assistance or support regarding what happened? Please select all that apply.
Yes,
No, no
someone
one
did
Yes, I did
else did
A faculty member, administrator, teaching/research
assistant, or staff member
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
A hospital, health care center, or doctor’s office on campus
Crisis, victim, or advocacy services or center on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Other (please specify):
122. Have you or someone else notified or reached out to the following people, groups, or organizations
outside of [SCHOOL NAME] (that is, not at [SCHOOL NAME]) for assistance or support regarding
what happened? Please select all that apply.
Yes,
No, no
someone
one did
Yes, I did else did
A crisis hotline or helpline
Crisis, victim, or advocacy services or center
A hospital, health care center, or doctor’s office
Counseling or psychological services
Local police, such as the city, county, or tribal police department
Other (please specify):

{If none in Q122 or Q123 = “Yes, I did”, skip to Q125}
42

123. {If any in Q122 or Q123= “Yes, I did”. Loop through for each “Yes, I did” response.} When you or
someone else notified or reached out to [LOOP: FILL GROUP FROM Q120/Q121/122] about what
happened…
Yes No
Were they helpful?
Did they respond quickly enough?
Did they treat you with respect?
Did they tell you about different services or resources that are available to you?
Did they try to discourage you from telling anyone else?
Were you satisfied with what they did?
Would you recommend them to someone else who experienced the same things as you?
124. {If none in Q122 or Q123 = “Yes, I did”} You said you did not notify or reach out to the following
people, groups, or organizations about what happened:
[DISPLAY ITEMS NOT ANSWERED “YES, I DID” IN Q122 AND Q123 IN BULLET FORM. DO NOT
DISPLAY “OTHER” OPTION.]
At [SCHOOL NAME]:
• A faculty member, administrator, teaching/research assistant, or staff member
• A Resident Advisor (RA) or other Residence Life staff member
• Counseling or psychological services at [SCHOOL NAME]
• A hospital, health care center, or doctor’s office on campus
• Crisis, victim, or advocacy services or center on campus
• [SCHOOL NAME] Title IX Office
• [SCHOOL NAME] campus security or police department
Outside [SCHOOL NAME]:
• A crisis hotline or helpline
• Crisis, victim, or advocacy services center
• A hospital, health care center, or doctor’s office
• Counseling or psychological services
• Local police, such as the city, county, or tribal police department
There are many reasons why students might not seek assistance from or tell certain people, groups,
or organizations when they have experienced something like what you experienced. Which of the
following are reasons why you did not tell or contact these people, groups, or organizations? Please
select all that apply.
You did not know they existed or didn’t know how to contact them
You thought they would not keep your situation private or didn’t trust them
You thought you would be treated poorly or not believed
You thought that nothing would happen
You did not think they would be accepting of your identity/background (such as race,
sex, sexual orientation)
Could not take time off of work or school
You did not think it was serious or important enough to report
You did not want any action taken
43

You did not need any assistance
You had already sought assistance elsewhere
You did not want the [IF Q41 = 1: person / IF Q41 = 2 OR MORE: people] who did it to get
in trouble or face harsh consequences
You wanted to try to forget it had happened or try to move on
You thought other people might think it was at least partly your fault
You thought you might get in trouble or face some type of consequence
Other (please specify):
125. {If yes to any in Q122 or Q123} When you or someone else sought assistance or told people, groups,
or organizations about what happened, was an investigation started?
o Yes
o No
o

Don’t know

126. {If Q126 = Yes} Who started the investigation? Please select all that apply.
A faculty member, administrator, teaching/research assistant, or staff member at
[SCHOOL NAME]
A Resident Advisor (RA) or other Residence Life staff member
Counseling or psychological services at [SCHOOL NAME]
Health center or health care provider on campus
[SCHOOL NAME] Title IX Office
[SCHOOL NAME] campus security or police department
Local police not at [SCHOOL NAME], such as the city, county, or tribal police department
Other (please specify):
127. {If Q126 = Yes} Is the investigation over?
o Yes
o No
o

Don’t know

128. {If Q128 = Yes} What was the final decision or outcome of the investigation?
129. {If Q126 = Yes} Are you satisfied with how the investigation [IF Q128 = YES: was / IF Q128 = NO: has
been / IF Q128 = MISSING: has been or was] conducted?
o Yes
o No (If no, please explain):

44

130. [IF Q33 = 1: When / IF Q33 = 2 OR MORE: The most recent time] this happened with a romantic or
dating partner [IF MONTH SELECTED IN Q34: (in [MONTH] [YEAR]) / ELSE IF RANGE PROVIDED IN
Q35: (between [RANGE]) / ELSE IF Q33 = 2 OR MORE: FILL IS EMPTY], did you experience any of the
following injuries or other things?
Yes No
Bruises, black eye, cuts, scratches, or swelling
Chipped or knocked out teeth
Broken bones, or broken nose
Concussion
Sexually transmitted infections or diseases
Pregnancy
Other (please specify):
131. Did what happened lead you to have serious problems with any of the following?
Schoolwork or your grades (such as missing or being late to class, having trouble
concentrating, or not completing assignments)
Class participation (such as less classroom engagement and communication)
School enrollment (such as taking time off from school, not finishing a semester)
Participation in extracurricular activities (such as teams, clubs)
Friends, roommates, or peers (such as getting into more arguments or fights than you
did before, not feeling you could trust them as much, or not feeling as close to them
as you did before)
Family members (such as getting into more arguments or fights than you did before,
not feeling you could trust them as much, or not feeling as close to them as you did
before)
Your job, or your boss or coworkers
Social media (such as bullying by others, others posting about what happened online,
negative posts or comments about you)
Housing (such as moving or changing where you live)
Finances (such as with financial aid, scholarship, work study, credit score, paying for
rent or food)
132.

Did what happened cause you to have any of the following problems?
Fearfulness or being concerned about your safety
Loss of interest in daily activities or being around other people
Nightmares or trouble sleeping
Feeling emotionally numb or detached
Difficulty concentrating
Lower self-esteem, anxiety, or depression
Thoughts of suicide or harming yourself
Eating problems or eating disorders, or concerns about your body image
Headaches or stomach aches
Drug or alcohol misuse

45

Yes No

Yes No

133. Before moving on to the next section, is there anything else you would like us to know about
what happened or your experiences getting support or resources afterward? Please use the
space below to enter your thoughts, but do not include any names or other personally identifying
information. As a reminder, all questions are voluntary.

You have completed Section 3 of 5. This is the longest section for most people.
{Skip to randomized modules – Institutional Culture}

46

4. Institutional Culture
A. Campus Climate & Attitudes
Reminder: All of your answers to these questions will remain private. Nobody at [SCHOOL] will ever see
them.
134. How much do you agree or disagree with each of the following statements?
Strongly
Agree
Agree
I feel safe when I am on the [SCHOOL] campus.
{If Q9 = residence hall or dormitory} I feel safe
when I am in my residence hall/dorm on campus.
{If Q8 = no or not applicable} I feel safe when I am
at my home off campus.
I believe alcohol abuse is a big problem at
[SCHOOL].
I believe marijuana abuse is a big problem at
[SCHOOL].
135. How much do you agree or disagree with each of the following statements?
Strongly
Agree
Agree
Sexual harassment is a problem at [SCHOOL].
Sexual assault is a problem at [SCHOOL].
Stalking is a problem at [SCHOOL].
Dating or domestic violence is a problem at
[SCHOOL].

Disagree

Strongly
Disagree

Disagree

Strongly
Disagree

136. Thinking about the overall population of [SCHOOL] students, how much do you agree or disagree
with each of the following statements?
Strongly
Agree
Most [SCHOOL] students are knowledgeable about
the topic of sexual harassment, including its
definition, frequency, and legal consequences.
Most [SCHOOL] students are knowledgeable about
the topic of sexual assault, including its definition,
frequency, and legal consequences.
Most [SCHOOL] students are knowledgeable about
the topic of stalking, including its definition,
frequency, and legal consequences.
Most [SCHOOL] students are knowledgeable about
the topic of dating or domestic violence, including
its definition, frequency, and legal consequences.
47

Agree

Disagree

Strongly
Disagree

137. Since you started attending [SCHOOL], have any other [SCHOOL] students told you they experienced
the following?
Yes No
Sexual harassment
Sexual assault
Stalking
Dating or domestic violence
138. The next question asks about your opinions on the following concepts. Please think about these
things when answering.
• Sexual harassment
• Sexual assault
• Stalking
• Dating or domestic violence
How much do you agree or disagree with each of the following statements? Remember that you may
skip any question or stop the survey at any time if it makes you uncomfortable.

If someone reported experiencing the things listed
above, [SCHOOL] would maintain the privacy of
the person making the report.
If I experienced one of these things at [SCHOOL], I
would report it to administrators, faculty, or staff.
If I experienced one of these things, administrators
and staff at [SCHOOL] would treat me with dignity
and respect.
I know what services are available at [SCHOOL] to
help people who experience these things.
I understand the procedures that [SCHOOL] has for
dealing with reports of these things.

Strongly
Agree

Agree

Disagree

Strongly
Disagree

The next couple questions ask specifically about sexual assault.
139. If you were sexually assaulted, how likely do you think you would be to notify or reach out to the
following individuals, groups, or organizations at [SCHOOL] for assistance or support?
Not
Not
Not
Very
Likely Very at all applicable
Likely
Likely Likely
A faculty member, administrator, teaching/research
assistant, or staff member at [SCHOOL]
A Resident Advisor (RA) or other Residence Life staff
member
[SCHOOL] Title IX Office
Counseling or psychological services at [SCHOOL]
48

A hospital, health care center, or doctor’s office on
campus
[SCHOOL] campus security or police department
[FILL SCHOOL-SPECIFIC RESOURCES]
140. If you were sexually assaulted, how likely do you think you would be to notify or reach out to the
following outside individuals, groups, or organizations (that is, not at [SCHOOL]) for assistance or
support?
Not
Not at
Very
Likely Very
all
likely
Likely Likely
A crisis hotline or helpline
A crisis or victims services center not at [SCHOOL]
A hospital, health care center, or doctor’s office not at
[SCHOOL]
Counseling or psychological services not at [SCHOOL]
Local police, such as the city, county, or tribal police
department

B. Bystander Intervention Module
141. How likely would you be to do the following things at [SCHOOL]?
Very
Likely
If you saw or heard someone insulting or making fun of another
person because of their sexual orientation, how likely would
you be to tell them to stop?
If you saw or heard someone insulting or making fun of another
person because of their sex, how likely
would you be to tell them to stop?
If you saw or heard someone insulting or making fun of another
person because of their race, ethnicity, or national origin, how
likely would you be to tell them to stop?
If you saw or heard someone insulting or making fun of another
person because of a cognitive, physical, or mental disability,
how likely would you be to tell them to stop?
If you saw a person who had too much to drink, how likely
would you be to talk to their friends to make sure they wouldn’t
leave the person behind?
If you saw someone who looked uncomfortable and was being
touched, grabbed, or pinched in a sexual way, how likely would
you be to speak up or help in some other way?
If someone told you that they had sex with someone who was
passed out, how likely would you be to report the incident to a
campus administrator, faculty, or police?

49

Likely

Not
Very
Likely

Not at
all
Likely

If you suspected that one of your friends might be in an abusive
relationship, how likely would you be to ask them if they are
being mistreated or offer support?

C. Prevention and Training Module
142. How much do you agree or disagree with each of the following statements?
Strongly
Agree
Agree
[SCHOOL] is committed to training students on
preventing sexual harassment, sexual assault,
dating/domestic violence, and stalking.
[SCHOOL] is doing a good job educating students about
sexual harassment, sexual assault, dating/domestic
violence, and stalking (such as what consent means, how
to define these things, how to look out for and help each
other).

Disagree

Strongly
Disagree

143. Since you started attending [SCHOOL], have you attended an assembly or workshop, or received any
other type of training or classes offered by [SCHOOL] that covered each of the following topics?
Please include any in-person, virtual, or online training or classes you attended.
Yes No
The meaning of “consent” and how to respectfully ask for it from a sexual partner
The definitions of sexual harassment, sexual assault, dating/domestic violence, and/or
stalking
Reporting sexual harassment, sexual assault, dating/domestic violence, and/or stalking
Supporting someone who has experienced sexual harassment, sexual assault,
dating/domestic violence, and/or stalking
Who on campus is required to report sexual harassment, sexual assault,
dating/domestic violence, and/or stalking to campus offices, like the Title IX Office or
Student Affairs
The services available for survivors of sexual harassment, sexual assault,
dating/domestic violence, and/or stalking
Intervening as a bystander to protect other students from sexual harassment, sexual
assault, dating/domestic violence, and/or stalking
Strategies for preventing sexual harassment, sexual assault, dating/domestic violence,
and/or stalking
144. Have you taken the following training programs offered by [SCHOOL]?
Yes
[INSERT SCHOOL SPECIFIC FILL] Live, in-person training/classes/programming
[INSERT SCHOOL SPECIFIC FILL] Live, online/virtual training/classes/programming
[INSERT SCHOOL SPECIFIC FILL] On-demand, pre-recorded, online-only
training/classes/programming

50

No

145. How helpful or unhelpful were the following training programs that you took?
[SHOW PROGRAM FILLS FROM YES RESPONSES TO Q144]
Very
Helpful

Helpful

[Q144 PROGRAM NAME FILL]
[Q144 PROGRAM NAME FILL]
[Q144 PROGRAM NAME FILL]

You have completed Section 4 of 5

51

Not Very
Helpful

Not at all
Helpful

5. Additional Demographics
We’d like to end the survey by asking just a few more questions.
146. Are you deaf or do you have serious difficulty hearing?
o Yes
o No
147. Are you blind or do you have serious difficulty seeing even when wearing glasses?
o Yes
o No
148. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone
such as visiting a doctor’s office or shopping?
o Yes
o No
149. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating,
remembering, or making decisions?
o Yes
o No
150. Do you have serious difficulty walking or climbing stairs?
o Yes
o No
151. Do you have difficulty dressing or bathing?
o Yes
o No
152. {If “Yes” to any of Q152-Q157} Have you informed [SCHOOL NAME] that you have a disability?
This often involves providing additional documentation prepared by an appropriate professional,
such as a medical doctor, psychologist, or other qualified diagnostician. The required documentation
may include one or more of the following: a diagnosis of your disability, as well as supporting
information, such as the date of the diagnosis, how that diagnosis was reached, and the credentials
of the diagnosing professional; information on how your disability affects a major life activity; and
information on how the disability affects your academic performance.
o Yes
o No
153. {If “Yes” to Q158} Which of the following disabilities have you informed [SCHOOL NAME] that you
have? Please select all that apply. [ONLY LIST ITEMS SELECTED IN DISABILITY SCREENERS.]
Deafness or serious difficulty hearing
Blindness or serious difficulty seeing even when wearing glasses
Physical, mental, or emotional condition that results in difficulty doing errands alone
such as visiting a doctor’s office or shopping
Physical, mental, or emotional condition that causes serious difficulty concentrating,
remembering, or making decisions
52

Serious difficulty walking or climbing stairs
Difficulty dressing or bathing
154. Since you started attending [SCHOOL], how often have you thought about quitting or dropping out
of school?
o Very often
o Often
o Sometimes
o Rarely
o Never
155. Since you started attending [SCHOOL], how often have you thought about transferring to another
school?
o Very often
o Often
o Sometimes
o Rarely
o Never
156. What is the highest degree or level of school that your parents have completed?
Parent
1
Less than high school diploma
High school diploma or GED
Some college but did not receive a degree
Associate’s degree
Bachelor’s degree (such as BA, BS)
Master’s, Professional, or Doctoral degree (such as MA, MS, MBA, MD, JD, PhD)
Don’t know
Not applicable
157. What is your race and/or ethnicity? Please select all that apply.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
158. Which of the following best describes how you think of yourself?
o Gay or lesbian
o Straight, that is not gay or lesbian
o Bisexual
o Pansexual
53

Parent
2

o
o

Asexual/Ace, or on the asexual spectrum
I use a different term:

o

I don’t know

o
159. Are you male or female?
o Male
o Female

54

6. Survey Debriefing Module
Now we just have a few final questions about the survey.
160. How easy were the survey questions for you to understand?
o Extremely easy
o Very easy
o Somewhat easy
o A little easy
o Not at all easy
161. How upsetting did you find the questions in this survey?
o Extremely upsetting
o Very upsetting
o Somewhat upsetting
o A little upsetting
o Not at all upsetting
162. How important do you think it is for students to complete surveys like this about their experiences
with being harassed or assaulted?
o Extremely important
o Very important
o Somewhat important
o A little important
o Not at all important
163. What was your main motivation for taking this survey?
o I wanted my opinions to be heard by faculty, staff, and administration
o The issues covered in this survey are important to me
o Gift card prize
o Other (please specify):
164. Do you have additional comments, suggestions, or feedback on this survey that you’d like to share
with us?

You have completed Section 5 of 5
55

(General Resources Page)
If you are concerned about any of the topics covered in this survey, or if you would like more
information on these issues, you are encouraged to contact the following organizations.
•

Rape, Abuse & Incest National Network (RAINN): Call a victim’s assistance hotline, available
24/7, at 800-656-HOPE (4673). Live chat is also available at https://hotline.rainn.org/online/.

•

National Domestic Violence Hotline: Call a domestic violence hotline at 800-799-7233 (TTY 800787-3224). To receive real-time, one-on-one support through live chat, visit
http://www.thehotline.org/what-is-live-chat/ . Chat is available 24/7.

•

National Dating Abuse Hotline: Helpline at 1-866-331-9474 www.loveisrespect.org

56