Jeanne Sarson MEd, BScN, RN & Linda MacDonald MEd, BN, RN

Persons Against

NST

Non-State Torture

Including
Ritual Abuse-Torture (RAT)

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On-Going Questionnaires 

 QUESTIONNAIRE ONE - Participation by persons who have survived torture

 QUESTIONNAIRE TWO – Participate by sharing opinions about abuse vs. NST

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Hopi image photo taken Arizona, 2008 

Questionnaire: Sexualized Harms Inflicted by “Others” 

The following survey of 10 questions are for persons who has suffered NST/RAT . If you have sought help from various service providers such as, counsellors, doctors, social workers, nurses, clergy, police or legal professionals and have suffered sexualized victimization inflicted by these providers, please consider answering the following survey.

Please remember that if you have suffered such a violation(s) it is the person who harmed you who is responsible for the acts of violence they decided to commit against you as a person who they knew was potentially vulnerable.

1. In what country or continent did you live when you suffered sexualized violations perpetrated by a service provider(s)?	Africa  Asia  Australia  Canada  Europe  Israel  New Zealand  South America  United States  Other
2. What is your sex/gender?	Female  Male  Transgendered
3. The service providers who inflicted acts of sexualized violence against you when you were an adult seeking support were/are:	Mental health counsellor  Massage therapist  Medical doctor  Medical specialists  Nurse  Social worker  Psychiatrist  Psychologist  Dentist  Intern: medical  Clergy  Nun  Lawyer  Judge  Police officer  Probation officer  Military personnel  Politician  Educator, professor  Landlord  Other
4. Were the perpetrators:	Only male  Only Female  Only Transgendered  Both male and female  A combination: male, female and transgendered
5. Where did the sexualized crime(s) happen?	In institutional office settings, i.e., mental health department, hospital  In a private commercial office settings or private clinic  In the home office of the perpetrator  When asked to the private home of the perpetrator  In a hotel/motel room, i.e., when attending a conference or workshop  When accepting a ride in the perpetrator’s vehicle  As a student the perpetrator was a mentor in an educational setting  In a student residence complex or educational institutional office setting  At your workplace  In a religious-based setting  Out-of-doors  Other
6. Types of sexualized violations included:	Pressured to remove your clothes, exposing your body when this was not necessary  Sexualized manipulation of your body, breast, vagina, anus or penis  Rape – vaginal  Rape – anal  Rape – oral  Raped with objects  Set you up for being raped by peers  Trafficked you to others  Forced you into pornography  Tortured – involving acts consistent with NSAT  Other
7. How many times did the sexualized violations occur before you could successfully extract your-Self from the perpetrator(s)?	One time  2-5 times  6-10 times  More than 11 times  For 1-2 years  For 3-5 years  More than 5 years  Still enduring violations
8. Did the sexualized crimes committed against you involve forced drugging?	Yes  No  Not sure
9. Following sexualized violence were you stalked or harassed?	By phone  Followed in person  Followed on a bus or train  Followed when driving your vehicle  Attempting to force you off the road when driving  Threatening messages left on your car, door step, mailbox for example  Received threatening emails  Threats via Facebook, Twitter or other social media  At your workplace  In places where you socialized, i.e., in church, community groups  Other
10. How did you manage to extract your-Self from the perpetrator(s)?	You broke contact all by your-Self   Supported by a friend, spouse or partner   Supported by another safe professional   Reported the violation to a professional association that took action   Reported the violation(s) to a professional association, it took no action so you broke contact by your own efforts   Reported the violation(s) to the police who took action   Reported the violation(s) to the police, no action taken; you broke contact by your own efforts   Moved away to other housing, to another community, etc   Changed your contact information: telephone & email information   Have not as yet been able to break away   Other
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Activism

Betty Murray and Jeanne Sarson, Halifax Nova Scotia, 2008