SIUC Campus Safety Survey
This information will be used by the Daily Egyptian as research for an upcoming series of articles. No identifying information is being collected or published.
Sign in to Google to save your progress. Learn more
What is your role on campus? *
If a student, what year of school are you in? *
What is your age? *
How do you describe your race? *
What is your gender identity? *
How would you describe your presentation of self (general appearance including clothing, hairstyle, make-up, accessories, etc.)? *
Do you consider yourself a member of the LGBTQ+ community? *
How often do you think about your safety on SIU campus? *
How safe do you feel on SIU campus? *
Do you know where to find information about services on campus to help keep you safe? *
Have you ever experienced sexual harassment, stalking, sexual assault, or other forms of sexual violence on SIU campus? *
Have you ever had a nonconsensual sexual encounter while on SIU campus? *
Has anyone you know experienced sexual harassment, stalking, sexual assault, or other forms of sexual violence on SIU campus? *
Has anyone you know ever had a nonconsensual sexual encounter while on SIU campus? *
Do you know where to find information on how to report sexual harassment, stalking, sexual assault, or other forms of sexual violence to SIU campus authorities? *
Would you feel comfortable reporting an instance of sexual harassment, stalking, sexual assault, or other forms of sexual violence to SIU campus authorities? *
How much do you think an individual's gender identity impacts their safety? *
How much do you think an individual's presentation of self (general appearance including clothing, hairstyle, make-up, accessories, etc.) impacts their safety? *
Based on your gender identity, how do you perceive your safety on campus? *
Based on your presentation of self (general appearance including clothing, hairstyle, make-up, accessories, etc.), how do you perceive your safety on campus? *
Based on your race/ethnicity, how do you perceive your safety on campus? *
Based on your status a member of the LGBTQ+ community, how do you perceive your safety on campus? *
How do you perceive the safety of individuals on campus who present as conventionally feminine? *
How do you perceive the safety of individuals on campus who present as conventionally masculine? *
How do you perceive the safety of individuals of color on campus? *
How do you perceive the safety of individuals on campus who belong to the LGBTQ+ community? *
What are some things that the campus administration could do to make you feel more safe on campus?
What are some things you do to keep yourself safe on campus? *
Required
Is there anything else you would like to add about safety on campus?
If you would feel comfortable anonymously speaking to a reporter from the Daily Egyptian, please contact:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Daily Egyptian SIU. Report Abuse