Items:

Please check off each type of sexually harassing or abusive experience/s you have ever had and where they took place. Note that this is focused on interactions you did not willingly agree to or did not want to have:

1. Someone whistling, honking, making kissy noises, “Pssst” sounds, or leering/staring aggressively at you.
2. Someone saying things like, “Hey Baby,” “Mmmm Sexy,” “Yo Shorty,” “Mami/Mamacita,” “Give me a smile,” or similar comments in a way that is disrespectful and/or unwanted and/or made you feel unsafe.
3. Someone calling you a sexist slur, like “Bitch,” “Slut,” “Cunt,” “Ho” or “Thot.”
4. Someone misgendering you or calling you a homophobic or transphobic slur, like “Fag,” “Dyke,” or “Tranny.”
5. Someone talking about your body parts inappropriately or offensively (such as your legs, crotch, butt, or breasts), saying sexually explicit comments (“I want to do BLANK to you”) or asking inappropriate sexual questions.
6. Someone making threats to harm you, to harm someone you know, or to share personal information you don’t want shared (such as your sexual orientation).
7. Someone saying you must date them or do a sexual act for them in exchange for something (such as a good grade, a promotion, a job, drugs, food, or something similar) or instead of something (like paying rent or a citation, etc).
8. Someone repeatedly texting or calling you in a harassing way.
9. Someone repeatedly asking you for a date or your phone number when you’ve said no or ignored them.
10. Someone electronically sending you or showing you sexual content without your permission, such as over e-mail, snapchat or Facebook or on their phone or computer.
11. Someone taking and/or sharing sexual pictures or videos of you without your permission.
12. Someone flashing or exposing their genitals to you without your permission.
13. Someone physically following you without your permission.
14. Someone purposely touching you or brushing up against you in an unwelcome, sexual way.
15. Someone forcing you to do a sexual act without your permission or one that you don’t want to do (including while you are under the influence of alcohol or drugs).

Response Options:
Respondents are asked to check the relevant responses.