Sample Survey Questions

Here are some survey questions that I came up with, let me know what you think. If we have enough good questions, I think that it would be okay to make the survey longer in order to make it more detailed and inclusive. What do you all think? - Diana

1) What are the age ranges of your children? Please mark all that apply.

            a) 0-5
            b) 6-10
            c) 11-14
            d) 15-18

2) Do you see child sexual abuse as rare or unusual?

            a) Yes
            b) No

3) Is it more common for child sexual abusers to be:

           a) A stranger
           b) Someone known to the child (family member, family friend, neighbor)ĥ

4) Have you discussed sexual abuse with your child?

           a) Yes
           b) No

5) Do you feel comfortable discussing sexual abuse with your child?

           a) Yes
           b) No

6) Do you feel that you have the knowledge and vocabulary to discuss sexual abuse with your child?

           a) Yes
           b) No

7) Who do you believe should be the primary educator of your child regarding child sexual abuse?
         
            a) school
            b) child's friends
            c) parents
            d) siblings
            e) T.V., newspaper, radio

8) What level of risk do you feel your child is at for being the victims of sexual abuse?

             a) High
             b) Low

9) Where did you receive the information that you will use to educate your child about sexual abuse?
           
             a) T.V., newspaper, radio
             b) media
             c) doctor
             c) child abuse education programs
             d) nowhere specific, life lessons learned by growing older
             e) other, please specify ____________________________________________

10) Did your parents talk to you about sexual abuse and prevention when you were a child?

            a) Yes
            b) No

11) Do you feel comfortable discussing child sexual abuse and prevention with your child's pediatrician?

            a) Yes
            b) No

12) In your household, who would be most likely to talk with your child about sexual abuse?

             a) Mother
             b) Father
             c) Both mother and father together
             d) No one

13) Would you find it important and worth your time to take a parent education course regarding how to talk        to children about sexual abuse?

             a) Yes
             b) No

14) How knowledgeable do you feel your child currently is regarding sexual abuse issues and protection             strategies?

             a) Very high
             b) High
             c) Moderate
             d) Low
             e) Very low

15) At what age should children first be introduced to sexual abuse issues, and taught personal safety skills?

            a) 1-2 years old
            a) Preschool age
            b) Elementary school age
            c) Middle school age
            d) High school age
            e) Never, if children are not introduced to problems regarding sexual abuse they are less likely to                      occur

16) Additional comments regarding this survey.

            __________________________________________________________