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*Denotes a required field
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Email:
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Re-enter email:
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*
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Location:
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If in the U.S., please include your state.
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Age:
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*
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*
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Occupation:
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*
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Your gender:
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Female
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Male
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Race:
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Education:
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1. Do you think that some people ask to be harassed or deserve to be harassed, for example
because of their attitudes or how they dress?
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No, no one deserves to be sexually harassed or brings it upon themselves.
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Yes, some people bring harassment upon themselves
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2. Do you think that most charges of sexual harassment are true, false, or exaggerated?
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Most complaints are false.
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Most complaints are true, but exaggerated.
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Most complaints are true.
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3. Do you think men experience sexual harassment, or do they enjoy this kind of attention?
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Men enjoy this kind of attention, so it is not harassment.
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Yes, men experience sexual harassment, they do not enjoy this type of attention.
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4. Do you believe that someone can be harassed by a person of the same gender?
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No, you can only be sexually harassed by a person of the opposite gender.
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Yes, a woman can harass a woman, and a man can harass a man.
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5. Do you believe you have been sexually harassed or stalked at some point in your life?
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No, I have never been sexually harassed or stalked. Please go to question 22
at the bottom of the survey
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Yes, I have been sexually harassed or stalked.
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6. When did the harassment occur? Check any that apply.
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I am currently being harassed.
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Two years ago
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More than two years ago.
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Within the last year.
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7. Where were you harassed? Check all that apply.
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At work or while doing your job (such as while traveling for your job)
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At school
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At a doctor's office, a hospital, or a clinic.
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At a public assistance office or human services office.
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Somewhere else:
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8. Who harassed you? Check any that apply.
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A stranger or group of
strangers
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A teacher or professor (or several)
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A friend or group of friends
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A coworker or group of
coworkers
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A doctor or other health care
professional
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My supervisor or employer.
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Someone else:
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A client
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9. Was your harasser/s male or female? (If you have been harassed by both, check
both selections.)
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Male
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Female
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10. What kind of sexually harassing behavior was involved? Check any that apply.
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Unwelcome sexual relations or demands for sexual relations
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Unwelcome physical contact (e.g. touching, pinching)
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Graphic commentary on your body
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Harassing mail or emails
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Propositions of a sexual nature
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Sexually suggestive objects, posters, or graffiti displayed
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Harassing phone calls or text messages
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Stalking or cyberstalking
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Sexual comments
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Other behaviors:
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11. How did the sexual harassment make you feel? Check any that apply.
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It did not affect me at all
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I took it as a joke
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I was flattered
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I was mildly embarrassed
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I felt very embarrassed
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I felt apprehensive
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I felt confused
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I felt humiliated
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I felt powerless
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I felt angry
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I felt violated
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I felt ashamed
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I felt guilty
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I felt scared/frightened
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I felt degraded
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I felt devalued
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I blamed myself
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Other feelings/
reactions:
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12. Were you threatened that your failure to submit to the harassment would adversely
affect you? (e.g. were you told you would be fired from your job, be denied a
promotion, be given a poor grade, etc.)
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No
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Yes => if Yes, then what was the threat?
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13. Was there any retaliation--adverse actions--against you because you rejected the
harasser/s attention or because did not submit to the harassment? (e.g. were you fired
from your job, denied training or a promotion, given a poor evaluation, a poor grade, etc.)
Note: This does NOT include retaliation for your reporting the behavior.
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No
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Yes => if Yes, then what happened?
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14. Did you talk to anyone about the harassment? (i.e. supervisor, coworkers, human resources,
school counselor, family members, friends, etc.)
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No => If no, then why not? Please share below:
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Yes => If yes, who did you talk to?
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