Date Rape Is Real Rape
by Marcella Chester, advocate and author 
Survey
Date Rape Survivor Survey

If you are a date rape survivor, please fill out survey once for each rapist or distinct group of rapists.

This survey should take less than 5 minutes to compete.

  rapist asked for consent but refused to accept lack of consent as final answer
  rapist took limited consent or your presence as blanket consent
  rapist never sought consent
  rapist used impairment or fatigue
  rapist used vulnerability (ie. rape began as you slept)
  rapist used isolation or external danger
  rapist used implied threats (blocking exit, restraint, etc)
  rapist used overt physical force
  you immediately self defined date rape as real rape
  rapist immediately justified ignoring lack of consent
  rapist immediately explained why the rape wasn't a real rape
  rapist immediately tried to get you to doubt your perception
  rapist immediately asked for forgiveness
  rapist immediately warned you not to disclose
  rapist immediately made threats or implied threats
  rapist a date or dating partner
  rapist a spouse or partner
  rapist in position of authority over you
  rapist a family member other than spouse
  rapist a friend
  rapist a coworker
  rapist an acquaintance
  rapist someone only recently encountered
  rapist someone only seen before
number of times raped by this rapist or group of rapists:
  have disclosed to any family or friends
  someone close to you tried to push you into denial
  someone close to you sided with your rapist
  have disclosed in person to anyone outside of family and friends
  have disclosed via a hotline (phone or IM)
  not reported
  reported immediately
  reported within first week
  reported within first year
  reported after first year
  if reported, law enforcement treated report as genuine report
  if reported, law enforcement tried to coerce you into recanting
  if reported, law enforcement did timely good faith investigation
comments (optional):
your gender
rapist(s) gender:
number of rapists:
Your age when date raped
rapist's age
other relevant id info
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