Wufoo

Name * First Last
Pronouns *
Email (non-school email preferred) *
If your story informs our projects or materials, how would you like to be cited? *
Full Name First Name Only Initials "Anonymous" Do not cite to my story on any materials Other
Name of your school (optional):
After reporting your assault/abuse/harassment, did you experience any of the following? Check all that apply. *
Perpetrator filed a Title IX complaint against me (after mine) Perpetrator found out I was going to file and so raced to file one against me first Perpetrator/their attorney threatened to sue me for defamation (they may have also said libel, slander) Perpetrator sued the school over the case Perpetrator filed for a protective order against me in court (sometimes called restraining order) Perpetrator/ their attorney threaten to sue the school School warned me I could face a defamation suit School threatened me with a lawsuit School threatened to or did punish me for conduct related to the incident reported (ex: drinking, premarital sex, drug use) My school encouraged me to take time off I took a leave of absence I transferred schools I dropped out of school altogether None of these, but I want to share something
Approximately what year did you report?
Did these actions influence your case? If yes, how?
Did these actions impact your education or career? If yes, how?
Did these action impact you financially? If yes, how?
Did these actions impact your health (mental, physical, emotional)? If yes, how?
Did these actions impact your privacy or safety? If yes, how?
Please share anything else you would like us to know about this/ese experience/s.
Can we follow up with you about information contained in this form? *
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