Rounded Rectangle: INSTRUCTIONS Thank you for agreeing to participate in this survey. There are five sections contained within the survey. The sections begin with a brief set of instructions. Read them very carefully. Please do not go back and change your answers after you have completed each of the sections. Who should complete this survey? The survey should be completed by all University of Montana students who attended classes, either full or part time, in both the Fall and Spring Semesters of the current academic year. To ensure the results accurately represent all students at The University of Montana, it is important that it be completed by ONLY YOU. The survey is completely voluntary and anonymous. Please DO NOT put your name on the questionnaire. How do I complete this survey? The survey contains two types of questions: Questions that require you to mark an "X" in the box associated with the response that best describes your experiences and questions where you are asked to write your answers in a text box presented beneath the question. For those questions requiring you to mark a selection please be sure to mark one, and only one box. For the questions that ask you to write in your answers please be sure to give as complete a response as you can. Should you find that there is not enough space in the text box, turn to the back cover of the questionnaire, list the number of the question you are writing about and complete your answer. Remember, there are no right or wrong answers. Please answer as honestly and openly as you can. How long does it take to complete the survey? It should take approximately thirty (30) minutes to complete the survey. The completion time will vary; take enough time to answer each of the questions. Please do not skip sections or questions unless prompted to do so.
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7.  Which of the following is the highest level of education achieved by either of 
START HERE       your parents or guardian?
Rounded Rectangle: I. To begin, please answer a few questions about yourself.
Elementary school
High school
Trade/ tech school
Some college, but did not graduate
Associate's degree
1.  Did you attend the University of Montana in the fall semester of 2004?
Bachelor’s degree
Master’s degree
Yes 
PhD/law degree  
No (if no, it is not necessary to complete this survey…thank you.)
8.  What is your current marital status?
2.  How many semesters have you attended UM?  
Single
    semesters attended.
Single and living with a committed partner
Married
3.  What is your current class standing?
Divorced or separated
Widowed
Freshman
Sophomore 9.  Where do you currently live?
Junior
Senior
Dorm
Graduate (Master Degree)
Sorority or fraternity house
Graduate (PhD Degree)
Off Campus University housing
Home of parent or relative
4.  Are you male or female?
Other off-campus housing
Male 10.  Have you lived there since you arrived for Fall 2004 classes?
Female
Yes
5.  How old are you? 
No
    years old. 11.  Which of the following sexual orientations do you most identify with?
6.  What is your racial/ethnic background?
Heterosexual 
Homosexual
White, non-Hispanic
Bisexual
Black
Transsexual
Hispanic
Other
Asian or Pacific Islander
American Indian/Alaskan Native
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Rounded Rectangle: II. Please answer a few questions about the issue of safety on the UM campus and the agencies that provide public safety services to students.
17. How worried would you be about your personal safety in the following situations 
       on or near the UM campus?
Very Worried Worried Somewhat Worried Not at all Worried Not Applicable
A date while sober
12.  Are there places on campus where you would feel uncomfortable walking  A date while drinking
        alone at night? A party while sober
A party while drinking
Yes A bar while sober
No (If no, skip to question 14) A bar while drinking
13.  In the space below, list those places on campus where you would be   18.  In general, how concerned are you about being personally victimized on the 
        uncomfortable walking alone at night (be as precise as possible).         UM campus?
Rounded Rectangle:
Not at all concerned
Somewhat concerned
Concerned
Very concerned
19.  In general, how safe do you feel on the UM campus?
14.  Are there places in the communities surrounding the campus where you 
        would feel uncomfortable walking alone at night?
Not safe at all
Somewhat safe
Yes
Safe
No (If no, skip to question 16)
Very safe
15.  In the space below, list those places in the communities surrounding the  20.  How familiar are you with the services provided by the following campus 
        campus where you would be uncomfortable walking alone at night?  (be         agencies?
        as precise as possible). Very Familiar Familiar Somewhat Familiar Not at all Familiar
Rounded Rectangle:
Campus Escort Service
Campus Security
Curry Health Center
Student Assault Resource Center 
UM Counseling Center
16. How often do you take the following precautions when walking on campus at  21.  How effective are the services that they provide?
       night?
Always Sometimes   Rarely   Never Not Applicable Very Effective Effective Somewhat Effective Not at all Effective Cannot Rate
Walk with a companion
Campus Escort Service
Call campus escort service
Campus Security
Carry pepper spray/mace
Curry Health Center
Carry a weapon
SARC
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Rounded Rectangle: III. The next set of questions pertain to activities that you may have been involved in. Please provide the most acurate estimate you can.
27.  How many sexual partners have you had in the past year?
    sexual partners.
28.  Which best describes most of your sexual activity?
Not sexually active
22.  Which of the following best describes your use of alcohol?
With a spouse or long-term partner
With someone I am dating 
Never (skip to question 24)
With a friend who I am not dating
1-3 times a year 
With someone who is an acquaintance
Once a month 
1-3 times a week  29.  Since September 1, 2004, how often have you:
More than 3 times a week 
Once Twice Three or more times
23.  When you drink alcohol do you typically have: Never
Stolen something?
1-3 alcoholic drinks  Damaged someone's property ?
4-6 alcoholic drinks  Gotten into a serious argument?
7-10 alcoholic drinks Gotten into a physical fight?
More than 10 alcoholic drinks    Hurt someone in a physical fight? 
        
24. Which best describes your drug use?
Rounded Rectangle: IV. The following questions concern sexual experiences you may have had while attending The University of Montana. Some of the questions may look similar, so please be sure to read all of them carefully. Please respond how many times each of the following incidents have occurred within the time period of September 1, 2004 to the present.
Never 
1-3 times a year 
Once a month 
1-3 times a week 
More than 3 times a week 
25. How often do you go out to a bar?
Never 
1-3 times a year 
Once a month  30.  Has anyone every made sexual contact with you (sexual contact meaning 
1-3 times a week         kissing, touching, grabbing, fondling of the breasts, buttocks, or genitals)
More than 3 times a week         without your consent?
26. How often do you attend parties where people are consuming alcohol?
Yes
No (If no, skip to question 32)
Never 
1-3 times a year 
Once a month 
1-3 times a week 
More than 3 times a week 
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31.  How many times since September 1, 2004? 38.  Has anyone ever had invasive sexual contact with you without your consent, 
        and penetration did occur?
One time
Twice
Yes
Three times
No  (If no, skip to question 40)
More than three times
39.  How many times since September 1, 2004?
32.  Has anyone ever attempted to have sexual intercourse with you (sexual 
        intercourse meaning oral, anal, or vaginal penetration with the penis) without  
One time
        your consent, but penetration did not occur?
Twice
Three times
Yes
More than three times
No (If no, skip to question 34)
40.  Have you ever made sexual contact with someone (sexual contact meaning 
33. How many times since September 1, 2004?         kissing, touching, grabbing, fondling of the breasts, buttocks, or genitals) 
        without their consent?
One time
Twice
Yes
Three times
No  (If no, skip to question 42)
More than three times
41.  How many times since September 1, 2004?
34.  Has anyone ever had sexual intercourse with you without your consent, and
        penetration did occur?
One time
Twice
  Yes
Three times
  No (If no, skip to question 36)
More than three times
35.  How many times since September 1, 2004? 42.  Have you ever attempted to have sexual intercourse with someone (sexual 
        intercourse meaning oral, anal, or vaginal penetration with the penis) without 
One time         their consent, but penetration did not occur?
Twice
Three times
Yes
More than three times
No  (If no, skip to question 44)
36.  Has anyone ever attempted to have invasive sexual contact with you (invasive  43.  How many times since September 1, 2004?
        sexual contact meaning penetration of the vagina or anus with a tongue, 
        finger, or object) without your consent, but penetration did not occur?
One time
Twice
Yes
Three times
No  (If no, skip to question 38)
More than three times
37.  How many times since September 1, 2004? 44.  Have you ever had sexual intercourse with someone without their consent,
       and penetration did occur?
One time
Twice
Yes
Three times
No  (If no, skip to question 46)
More than three times 9 10
45.  How many times since September 1, 2004?
Rounded Rectangle: V. Thinking about your answers to questions 30 through 49, focus on the single event that you consider to be the most significant. Please answer the following questions about that single event.
One time
Twice
Three times
More than three times
46.  Have you ever attempted to have invasive sexual contact with someone 
        (invasive sexual contact meaning penetration of the vagina or anus with a  50.  To which of the questions 30 through 49 are you referring?
        tongue, finger, or object) without their consent, but penetration did not 
         occur? Question number    
Yes 51.  Where did the event occur? (Please list in the box below)
No  (If no, skip to question 48)
47.  How many times since September 1, 2004?
One time
Twice
Three times
More than three times
48.  Have you ever had invasive sexual contact with someone without their 52.  What was your relationship to the other person(s) involved?  (Please describe 
        consent, and penetration did occur?         in the box below)
Yes
No  (If no, please read the instructions following question 50)
49.  How many times since September 1, 2004?
One time 53.  How well did you know the other person(s)?
Twice
Three times
Did not know at all
More than three times
Slightly acquainted
Acquainted
Very acquainted
Rounded Rectangle: If you answered yes to any of the questions 30 through 49, please proceed to question 50. If you did not answer yes to any of questions, there is no need to complete the remainder of this survey…thank you for your time.
54. Was physical force used?
Yes
No  (If no, skip to question 56)
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55.  What sort of physical force was used?  (Please describe in the box below) 61.  Have you ever discussed this incident with anyone?
Rounded Rectangle:
Yes (if yes, skip to question 63)
No 
62. Why did you choose not to discuss the incident with anyone? (Please comment 
       in the box below)
56.  Was alcohol involved? Rounded Rectangle:
Yes
No  (If no, skip to question 58)
57.  If yes, how drunk were you?
63.  If yes, who? (Please list who you discussed the incident with in the box below)
Not at all
Somewhat drunk Rounded Rectangle:
Drunk
Very drunk
58.  Were drugs involved?
Yes 64.  Looking back on the incident, which of the following best characterizes your 
No  (If no, skip to question 60)         perception of what happened?
59.  If yes, how high were you?
I am sure that a crime did not occur
I am unsure whether or not a crime occurred
Not at all
I am sure that a crime did occur
Somewhat high
High
Very high If in the course of completing the survey any concerns or negative feelings arose,  
please contact the agencies listed below (These are also listed on the card 
60.  This question refers to coercive tactics that may have been used.   accompanying the questionnaire.)
        Would you say that the event occurred due to:
Campus Escort Service……...…...……………………….. 243-2777
Yes No Campus Security……..…..….…………………………….. 243-6131
Continual arguments and pressure
Curry Health Center……………………………………….. 243-2122
Misuse of authority (boss, teacher, supervisor)
UM Counseling Center……….....……………………….. 243-4711
Alcohol or drugs
        Missoula City Police ………….………………………….. 523-4777
Threat of physical force
        Men Advocating Non-Violence…………..…………….. 549-3727
Threat of a weapon
Threat to kill you
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Rounded Rectangle: Please, return your completed questionnaire in the envelope provided to: Dusten Hollist - Project Director Department of Sociology Social Sciences Building, Room 321
Text Box: To request more information about this questionnaire or the study, please call 243-2843.
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