1. Gender: Questioning

Trans Queer

Bigender

Agender

Female

Male

Other - Write In Please enter an 'other' value for this selection.

Not applicable

2. Age:

3. Ethnicity: Hispanic

Hispanic or Latino or Spanish Origin of any race

American Indian or Alaskan Native

Native Hawaiian or Other Pacific Islander

Asian or Pacific Islander

Asian

Black, non-Hispanic

Black or African American

White, non-Hispanic

Other - Write In Please enter an 'other' value for this selection.

4. Income Level: Low-Income (Less than $30k a year)

Lower-Middle class ($30-$50k a year)

Middle Class ($50-100K a year)

Upper Middle-Class ($100-$350k a year)

Upper Class ($350k + a year)

I am unsure or do not know

5. Education Level: No schooling completed

Nursery school to 8th grade

Some high school, no diploma

High school graduate, diploma or the equivalent (for example: GED)

Some college credit, no degree

Trade/technical/vocational training

Associate degree

Bachelor’s degree

Master’s degree

Professional degree

Doctorate degree

6. Are you currently employed? Yes

No

7. How would you rate your happiness, in relationship to your quality of life living in Portland, OR.? * This question is required. Terrible/Unhappy/Depressing OK Fantastic/Happy/Pleasing

8. What are your general feelings towards the Politics of Portland, OR.? * This question is required. Negative Indifferent/No Feelings Either Way Positive

9. What are your feelings towards the City of Portland's justice and legal systems? * This question is required. Negative/Bad OK/Indifferent Positive/Good

10. General feelings towards Portland Police Bureau/Multnomah County Sherrif's Office/Portland Transit Police * This question is required. Negative/Bad OK/Indifferent Positive/Good

11. Have you ever been assaulted (Physically, Sexually, Emotionally) in the Portland, OR. area? * This question is required. Yes

No

12. What types of assault(s) have you experienced in the Portland, OR., area? (Please, check all that apply) Coercion

Destabilisation

Verbal Aggression

Threat of harm

Psychological Trauma

Isolation to facilitate abuse

Hate Speech

Hate Crime

Rape

Attempted Rape

Fondling or Unwanted Touching

Forced performance of any sexual act

Child Sex Abuse

Child Sex Trafficking

Any other sexual conduct that is harmful to a child's mental, emotional, or physical welfare

Obscene phone calls, text messages, or digital interaction

Incest

Drug-Facilitated Sexual Assault

Provocation: insults, death threats

Intimidation: making a fist, pushing, stalking, stealing/throwing objects

Brutality: attacks, struggles, fights

Punches and injuries: bites, bruises, injuries, dislocations, fracture

Assault with a weapon

Armed robbery (with a firearm or using force or the threat of force

13. Did you report any of the incidents? Yes

No

Both, different incidents had different outcomes

14. If you answered "YES" to #13; how would you rate your reporting experience? Unsatisfactory 0 1 2 3 4 5 6 7 8 9 10 Very Good 0 1 2 3 4 5 6 7 8 9 10

15. If you answered "YES" to #13; do you feel you were able to receive justice via the City of Portland legal and justice systems? Yes

No

Other - Write In (Required) Please enter an 'other' value for this selection.