Pre-Survey 2024-25 A FIGHT WE CAN WIN2024-25 Pre-Training Survey This survey is anonymous. The first question, Your School, requires a response. OK Question Title * 1. Your School Academy of Math & Science High Academy of Math & Science Junior AF Smith AMMS ASH Bolton Brame Buckeye High CC Raymond Delta Charter High Delta Charter Junior Dormon Ferriday High Ferriday Junior High Forest Hill Georgetown Glenmora Grant High Grant Junior Monterey High Monterey Junior Montgomery Northwood Oak Hill Peabody Magnet High Pineville High Pineville Junior Plainview Poland Rapides High Tioga High Tioga Junior University Academy Vidalia High Vidalia Junior YCP OK Question Title * 2. Gender Male Female OK Question Title * 3. Age 10 11 12 13 14 15 16 17 18 19 OK Question Title * 4. Grade 6 7 8 9 10 11 12 OK Question Title * 5. Ethnicity White Black Hispanic Asian Native American Mixed Race Other OK Question Title * 6. How would you define "teen dating violence"? Check all that apply. Verbal Abuse Emotional Abuse Physical Abuse Sexual Abuse Other (please specify) OK Question Title * 7. How serious a problem do you think teen dating violence is? A very serious problem A moderately serious problem Not serious OK Question Title * 8. Do you know, or have you known someone who is in an abusive relationship? Yes No Not sure OK Question Title * 9. If you know, or have known someone in an abusive relationship, have you ever wanted to do something to help or intervene? Yes No OK Question Title * 10. If you have wanted to help or intervene but did not, indicate why. Check all that apply. Didn't know how Didn't want to get involved Didn't want to lose a friend Afraid of getting someone in trouble Afraid of getting hurt Afraid others would dislike/distrust me Other (please specify) OK Question Title * 11. What type of dating abuse have you witnessed? Check all that apply. Hitting, pushing, shoving Threatening violence toward victim Threatening to hurt victim's family members Choking (strangulation) Unwanted kissing & touching Forcing to have sex Embarrassing/humiliating the victim Excessive calling and texting Stalking /spying Hurting victim's pets Sending nude pictures Receiving nude pictures OK Question Title * 12. Are you presently or have you ever been in an abusive dating relationship? If NO, skip to question 20. Yes No Not sure OK Question Title * 13. If you have experienced dating abuse in the past, how old were you when the abuse occurred? 9 10 11 12 13 14 15 16 17 18 OK Question Title * 14. If you have experienced dating abuse in the past, how long did you stay in the relationship? Less than a month One to three months Three to six months Six months to one year One to two years More than two years OK Question Title * 15. If you have been in an abusive dating relationship, have you been in more than one? Yes No OK Question Title * 16. If you have experienced dating abuse, check all that apply. Hitting, pushing & shoving Threatening violence toward you Threatening family members Choking/strangulation Unwanted kissing and touching Forcing to have sex Embarrassment & humiliation Excessive calling & texting Stalking & spying Hurting my pets You have been asked to send nude/sexy pictures to a dating partner You have sent nude/sexy pictures to a dating partner You have received nude/sexy pictures from a dating partner Your dating partner has demanded money to keep your pictures private OK Question Title * 17. If you are, or have been in an abusive relationship that you couldn't get out of, why do you (did you) stay? Check all that apply. Don't (didn't) know how to leave Afraid of losing partner Believe things will (would) get better Believe it is (was) my fault Afraid of being hurt Afraid of losing friends Believe I can (could) change him/her He/she is only abusive some of the time Other (please specify) OK Question Title * 18. If you have been in an abusive relationship but were able to get out of it, how did you end it? Broke up with partner on my own I sought and received help I didn't - my partner broke up with me Parents got involved Did you do something else? OK Question Title * 19. If you asked someone for help, whom did you ask? (Choose one) Parents Friend Teacher Counselor Minister School Resource Officer Did you ask someone else for help? OK Question Title * 20. Whom would you trust the most to help you if you are in an abusive relationship? Parents Friend Teacher Counselor School resource officer/police officer Minister/Priest/Rabbi Other OK Question Title * 21. If you or a friend have been in an abusive relationship, where did the abuse most often occur? Check all that apply. Your home Partner's home Friend's house School In vehicles Social media Did the abuse occur somewhere else? OK Question Title * 22. Have you ever witnessed your mother being abused by her husband/partner? Yes No OK Question Title * 23. Do you have a private social media account(s)? Yes No OK Question Title * 24. Please add any comments you would like to share about dating violence in the space below. OK DONE