1. Did you exchange verbal consent before the experience?(Required)

A) Yes, I willingly gave consent

B) Yes, I initially gave consent, but then asked them to stop and they didn’t

C) No, I consented to other sexual acts, but never to penetrative sex

D) No, I never provided verbal consent

E) I don’t remember

* Sexual consent is an enthusiastic agreement to engage in sexual activity with one or more people. It must be given for each act without any hesitation or pressure.

To read more about the types of sexual violence, see here.

2. What were your motivations for giving consent, if you provided it?(Required)

A) I did not give consent

B) I consented to a different sexual act that I felt comfortable with, but my boundaries were not respected

C) I was offered money or other gifts if I complied

D) I didn’t want to upset them or hurt their feelings

E) I was scared for my safety or the safety of my loved ones

F) I was in a relationship with this person and thought I could trust them

G) I was too intoxicated after willingly consuming drugs and alcohol

H) I was drugged and do not remember

I) I gave consent because I thought I wanted to engage in a sexual act with this person

Do you need help understanding sexual consent? If so, please contact us to talk about your experience.

3. Were you under the influence of alcohol or drugs during this experience?(Required)

A) Yes. I had willingly ingested drugs and/or alcohol

B) Yes, but I do not recall taking any substance and fear I was drugged

C) No, I was sober during the experience and fully aware of my surroundings

D) I am not sure

If you wish to read more about date rape drugs, please see here.

4. Were you underage when this happened?(Required)

A) Yes. I was a minor and they were an adult

B) Yes, we were both minors

C) No, I was an adult

Please note that sexual activity with a minor is unlawful, regardless of verbal or non-verbal consent. The age of consent for sexual activity depends on your state and may range from 16 to 18 years of age.

5. Were you conscious and alert during the assault?(Required)

A) No, I do not recall what happened

B) Yes, I was fully awake

C) I was conscious, but not fully alert

Please note that a person who is unconscious is not legally capable of giving consent for sexual activity.

6. Did you feel safe around the other person involved?(Required)

A) Initially, I felt safe around them, but that changed after the assault took place

B) I thought I felt safe around them but realized later I was frozen or numb during the incident

C) Yes, I felt safe around them

D) No, I did not feel safe around them

7. Were you coerced into the sexual act?(Required)

A) Yes, I was coerced into the sexual act

B) No, I was not coerced

C) I was not conscious when the sexual act occurred

*Sexual coercion is defined as any time that a person feels pressured, threatened, tricked, or forced in some non-physical way to participate in a sexual activity. For some, this can also include sexual bribery like the promise that you will pay back a loan or some kind of debt

If you wish to read more about sexual coercion, please click here.

8. Was physical force used against you during the experience?(Required)

A) Yes

B) No

C) No, but I was aware I didn’t have the physical strength to overpower them

D) I do not recall

Sexual assault may or may not involve physical force. To learn more about sexual assault, contact us using the form provided.

9. Did it feel like the other party overstepped your boundaries?(Required)

A) Yes, I felt completely violated

B) I was too young to understand, but I sensed something was wrong

C) No, I felt that my boundaries were respected the entire time

D) Initially no, but as things progressed, my boundaries were crossed

E) I was too intoxicated to remember

Nobody other than you can understand whether or not you felt violated. At StrongerThan.org, we are here to validate your feelings and remind you that you are not alone.

10. Did the other party use any form of sexual protection during the experience?(Required)

A) Yes, they used some form of protection like a condom

B) They did not use any protection

C) They lied about using protection

D) They told me they were using protection, but they removed it without my permission

E) I do not know

If you wish to read more about stealthing, please click here.

11. How did you feel during the experience?(Required)

A) Scared, frozen, numb, or dissociated

B) I can’t remember

C) I wanted it to stop, but I was afraid to say something

D) I wanted it to stop, but I was promised money if I participated so I went along with it

E) I was filled with rage, fear, and adrenaline. I tried to fight back, but I was unable to stop them

F) I felt content and safe during the experience

12. Were you pressured, coerced, or threatened into giving consent?(Required)

A) I was told that I would receive a special gift or cash if I participated in a sexual act

B) I was threatened with violence toward myself, my family, pets, or loved ones if I didn’t consent

C) I repeatedly said no to a specific sexual act but continued to be pressured. I eventually gave consent because I felt scared and uncomfortable

D) I was blackmailed into giving consent

E) I was not pressured, coerced, or threatened into giving consent

F) I felt pressured, coerced, or threatened into giving consent in a way that has not been described here

13. Did you tell the other person to stop or attempt to fight back?(Required)

A) No, I was frozen or felt uncomfortable

B) No, I was passed out or unconscious

C) No, I didn’t realize what was happening at the time

D) Yes, I fought back and told them to stop, but I was overpowered

E) Yes, I told them to stop, but they didn’t listen

Many survivors experience feeling frozen during a non-consensual sexual activity. To learn more about how StrongerThan.org can help, please visit our website.

14. Would the other party involved be considered an authority figure in your life?(Required)

A) Yes, this person was an authority figure or a perceived authority figure

B) No, this person was not an authority figure

*An authority figure could be someone like a priest or rabbi, a camp counselor, a police officer, a teacher or principal, a correctional officer, a politician or high-up government official, or a parent.

At StrongerThan.org, we are not afraid to file a civil sexual assault lawsuit against an authority figure or a powerful opponent. Allow us to help you today.

15. Did this experience occur at your residence, or somewhere else?(Required)

A) This assault took place at home and the perpetrator is a family member

B) This assault took place at home but was perpetrated by a non-family member

C) This assault took place outside of my home and was perpetrated by a family member

D) This assault took place outside of my home and was perpetrated by a non-family member

16. How long has it been since this assault took place?(Required)

A) It happened today

B) It happened a week ago

C) It happened a month ago

D) It happened a year ago

E) It happened several years ago

F) It happened 10 or more years ago

G) It happened 20 or more years ago

Many states have lifted the limitation period on childhood sexual assault. To learn more about the statute of limitations in your area, see here.

17. Were you showing signs of discomfort during the experience?(Required)

A) Yes, I was crying the entire time

B) Yes, my entire body stiffened up and I was in a state of shock

C) No, I was not showing any signs of discomfort

D) I was in and out of consciousness, or completely unconscious

E) I am not sure

Many states have lifted the limitation period on childhood sexual assault. To learn more about the statute of limitations in your area, see here.

18. If you were showing signs of discomfort, how did the other party react?(Required)

A) They ignored all signs that I was uncomfortable

B) They taunted me, told me to stop crying, hit me, or threatened me

C) They asked if I was ok, and said that we should stop

D) They asked if I was ok, but kept pressuring me to continue

E) I was unconscious during the time

F) I was likely not showing signs of being uncomfortable

19. Has your life changed dramatically since the event took place?(Required)

A) Yes, I have one or more of the following: flashbacks, nightmares, periods of dissociation or DID, anxiety, insomnia, depression, or PTSD

B) No, my life has not changed dramatically since the event