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Campus Climate Survey Questions + Sample Questionnaire Template

The campus climate survey is created to assess the prevalence of sexual assault and sexual misconduct on the University campus. This survey template can be used to collect data about prohibited conduct in the community as well as understand the student’s perception of the University’s climate around these issues. There are multiple question types in the questionnaire that anonymously collect feedback about the campus climate which in turn helps the University management to fix these issues as well as avoid their occurence in the future.


Considering your complete experience with the campus climate of this University, how likely would you be to recommend us to a friend or colleague?
Very Unlikely
Very Likely
Are you:
Do you consider yourself:
Do you consider yourself to be:
In which year did you first enroll at this University?
What is your current status at this University?
Where are you living while attending this University?
I know that this University has a policy on sexual misconduct
I know where to read/access this University’s policy on sexual misconduct
Please state your agreement with the following:
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I am aware of the University’s process to address complaints on sexual misconduct
I think this University takes sexual misconduct seriously
I think this University doesn’t differentiate in sexual misconduct towards LGBTQ individuals
I think this University has a fair process in judging sexual misconduct
I feel relatively safe on the University campus
I feel sexual misconduct is adequately covered in student orientation
I feel campus security is empathetic towards sexual misconduct cases
This University conducts timely programs towards identifying and mitigating sexual misconduct
This University provides access to management staff and other leaders to discuss sexual misconduct
This University provides avenues for self help and self defence
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
This University provides avenues for counselling and therapy
This University helps enforce restraining orders
This University dissuades stalking
If you or someone you know is sexually assaulted, do you know where to get help on campus?
If you have indulged in any sexual activity in the last 12 months including kissing and fondling, how often did you
Never
Once in a while
About half the time
Most of the time
Always
You sought verbal agreement
You gave verbal agreement
You sought non-verbal agreement
You gave non-verbal agreement
In what percentage of these, were you the following:
Drunk and intoxicated
%
Drunk but not intoxicated
%
On recreational drugs
%
On therapeutic drugs
%
On prescribed medication
%
On non-prescribed medication
%
Other
%
In the past 12 months, has anyone had any sexual activity with you without your consent by:
Yes
No
Don't know
Continually verbally pressured you
Blackmailing you
Taken advantage of you when you were under the influence of drugs and alcohol and couldn’t stop the activity
Taken advantage of you when you were unconscious or sleeping
Taken advantage of you when you were physically incapacitated
Threatening harm to you or someone close to you
Using brute force
In the past 12 months, has anyone:
How many times has this happened to you?
What was the sex of the perpetrator?
Was the perpetrator of sexual misconduct a:
Did you discuss this case with the relevant authorities?
Was the resolution process satisfactory?
Are there any other comments or suggestions you would like to make about the campus climate?

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