Los Angeles Metro Area Bad Date List
This form is used to compile information on "Bad Dates" in the LA Metro Area. This information is completely anonymous and will be made available to our community for the purpose of keeping SWers in the LA metro area safe. If you are not comfortable answering any of the following questions, you can skip them and still submit the form.

We understand that Bad Dates can be upsetting, harmful, or even traumatizing. Please take your time in completing this form and if you need to take a pause and come back to the form later, leave your email below before submitting. If you are in need of support, SWOP LA hosts bi-monthly peer support groups for current and former sex workers. Please email lexiedelaluz@protonmail.com for more information regarding dates/times and how you can join.

Thank you in advance for your contribution to SWOP LAs bad date list, and for helping keep our community safe.

Sign in to Google to save your progress. Learn more
Bad Date Incident Information
Please use this section to provide as much detail about the bad date as you feel comfortable, such as when it was, where it occurred, and the nature of the incident.
How did you meet the client?
Clear selection
More Info (If comfortable, please share name of establishment/street/platform/etc.)
What kind of appointment was it?
Clear selection
When did this incident occur? (If unsure of the exact date please put the first of the approximate month and year)
MM
/
DD
/
YYYY
Which city did the bad date occur?
What occurred on this bad date?
Please provide any additional details you feel are necessary to know about this bad date.
Bad Date Description
Please provide as much detail as you feel comfortable so that other workers may recognize and avoid this bad date.
Bad Date's name/alias
Bad Date's phone #
Bad Date's Email
Bad Date's gender
Bad Date's vehicle Info (Car Make/Model/Color)
Bad Date's Height
Bad Date's Race/Ethnicity
Any obvious physical identifiers? (scars, tattoos, etc..)
Bad Date's Body Type
Clear selection
How did the Bad Date first make contact? (website or platform name, club name, street name, phone, etc..)
If the Bad Date contacted you through an Ad site or online platform/dating site, please list the site name and the Bad Date's handle.
Any additional comments/red flags to look out for?
Support
Thank you for taking the time to complete this form. If you are in need of support regarding this incident or anything else please leave your contact information below or check out our resource list on our website: https://swoplosangeles.org/resources/ 

We also host peer support groups for current/former workers twice a month (time and date varies). Email lexiedelaluz@protonmail.com to join!
Your Name/Alias
Your prefered contact info (email/phone/etc.)
When we contact you, may we identify ourselves as from SWOP LA?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of California State University, Northridge. Report Abuse