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Exit Survey
 
 
Informed Consent Form

Title: In a word: Victims’ Preferred terminology for the sexual violence perpetrated against them
Investigators: Amanda Oerther, M.A., Spalding University
Brenda Nash, Ph.D. Dissertation Chair, Spalding University

This is a dissertation study designed to investigate the preferred terminology to describe types of violent crimes when used by various professionals such as mental health, medical, and law enforcement. Participants will be asked to complete the evaluation materials, which include demographics, a 17-item symptoms check list, and a 9-item terminology questionnaire.

It is possible participants may feel uncomfortable while participating in this study due to the sensitive content nature. If at any time a participant feels he or she does not wish to continue with the study, it is suggested that he or she discontinue the study immediately. There will be no consequence for not completing the questionnaires. Participation should take no more than 10-15 minutes. The primary benefit of this research study is to understand the factors that influence the language used to describe violent events. If any participant feels contribution to this study has resulted in personal crisis, please call this toll-free crisis line: 877-803-7577.

Your participation in this research study is completely voluntary. The researcher will be available to answer questions at any time and is available through e-mail correspondence. You are free to stop participating at any time and can withdraw from the study without penalty.

The information collected in relation to this investigation is kept strictly confidential. Test results are analyzed in a group format. Your test data will be used for research purposes only but may be shown to people outside of the dissertation committee. Your test results, however, will never be associated to you personally or to your name. Your name will not be identified in any future publication of this study.

Please contact Amanda Oerther, M.A., at [email protected] if you have any questions or if you would like to request final results of this study.


Please start with the survey now by clicking on the Continue button below.

 
 
 
 
What is your age?
 
Under 18
 
18-25
 
26-35
 
36-50
 
51-70
 
71+
 
 
 
Gender:
 
Male
 
Female
 
 
 
Race/Ethnicity (Please choose all that apply):
 
Hispanic or Latino/a
 
American Indian or Alaskan Native
 
Asian
 
Black or African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Two or more races
 
Race/Ethnicity unknown
 
 
 
Level of completed education"
 
High School Diploma/GED
 
Some College
 
Bachelor's Degree
 
Master's Degree
 
Post Master's/Professional Degree
 
 
 
What is your profession?
 
 
 
 
 
 
Have you ever experienced rape?
 
Yes
 
No
 
 
 
If yes, at what age?
 
 
 
 
 
 
How long has it been since you have experienced rape?
 
 
 
 
 
 
In addition to rape, have you experienced any other sexual violence?