Questionnaire:
1. Your first name or nickname:
(for our reference only, not to be disclosed)
2. Your current age:
3. Your current location (City, state, whatever you are
comfortable with)
4. Have you ever had a man, with whom you were not previously
acquainted,
expose himself to you? (yes or no)
If no, you have completed your portion of the questionnaire. Thank
you for
your time. Please email your responses back to research@monsterdance.com
If yes, please answer the following questions.
a) Please describe the circumstances of the encounter, including
(but not
limited to):
· Geographic location (city, country)
· Immediate location (at a party, on a train, in a library,
in a park, in
your home, at your bedroom window)
· A description of the man (age, build, dress, other physical
attributes)
· Were you alone or with other people? If you were with other
people, who
was with you? Did they also see the exposure?
· What did he do (opened his pants when he came near you on
the street,
drove by and asked you for directions, chased you and opened his
raincoat)
· Was he masturbating?
· Did he touch you, in any way?
b) How old were you when the encounter took place?
c) What was your immediate reaction to the encounter? (ran,
screamed,
stared, laughed)
d) What was your short term (same day/ same week) reaction to
this
encounter? (Did you think about it constantly? Did you put it
out of your
mind?)
e) Did you tell anyone about the encounter? Who? (no names,
just “parents”,
“sister”, “therapist”) If so, what were their reactions?
f) Did you report the man to the police or other authorities? Did
anything
come of the report?
g) Did you have any long lasting effects that you attribute to
the
encounter? Do you think it caused you to change your behavior in any
way?
This completes the questionnaire. Thank you for your time. Please
email your
responses back to
research@monsterdance.com
