Sexual Assault Lawyer, Sexual Harassment Lawyer

We recognize that discussing this topic might be difficult. Our goal with this questionnaire is to better understand your experience and ensure you receive the appropriate legal support and resources. Please answer only what you feel comfortable sharing. If any question is too challenging or doesn't apply, you can skip it.

Your comfort is our priority. Choose the options that are relevant to you and feel free to leave out any questions that don't resonate with your situation.

Your responses are completely confidential and will only be shared with our legal team for the purpose of evaluating your case. We are committed to protecting your privacy and supporting you throughout this process.

Name*

Email*

Consent*

I consent to providing this information and understand it will be used to assess my legal options. I understand this is not legal advice and does not create an attorney-client relationship.

Please describe the type of unwanted experience you had:

Unwanted Physical Contact

Non-Physical Sexual Advances / Harassment

Workplace Specific Harassment

Institutional or Organizational Abuse

Sexual Coercion and Manipulation

Stalking and Invasion of Privacy

Online Harassment and Abuse

Historical or Ongoing Abuse

Other Forms of Abuse or Harassment

Did the unwanted physical contact involve sexual touching or groping, rape or attempted rape, forced kissing, or other forms of physical assault? Please list all that apply.

Did the non-physical sexual advances or harassment include unsolicited sexual propositions, inappropriate or suggestive comments, requests for sexual favors, unwanted sexual comments or jokes, or other forms of non-physical harassment? Please list all that apply.

What types of workplace-specific harassment did you experience? Examples include harassment by a colleague, supervisor, or client, unwelcome sexual behavior affecting the work environment, or retaliation for rejecting advances or reporting harassment. Please list all that apply.

What forms of institutional or organizational abuse did you experience? This might include abuse within institutions (schools, religious organizations, etc.), failure of the institution to protect or take action, or abuse of power by authority figures. Please list all that apply.

What types of sexual coercion or manipulation did you experience? This could involve pressure to engage in sexual acts, threats or blackmail related to sexual activity, or manipulation or deceit to obtain sexual consent. Please list all that apply.

What type of stalking or invasion of privacy did you experience? Did it involve unwanted communication (calls, texts, emails), sharing or threatening to share intimate photos or videos without consent, or being followed or spied upon? Please list all that apply.

What kind of online harassment or abuse did you experience? This might include cyberstalking, distribution of non-consensual pornography (revenge porn), unwanted sexual messages, or comments on social media. Please list all that apply.

Please describe the historical or ongoing abuse you have experienced. Did it involve past abuse that still affects you, or ongoing harassment or abuse? Please list all that apply.

Have you experienced any other forms of abuse or harassment that don’t fit into the above categories but are relevant to your situation? If so, please list or describe your experience.

When did this experience occur, or when was the most recent experience if ongoing? If you don't know the exact date, please select the approximate date and/or year.

Please describe what happened, including any details you feel comfortable sharing about the unwanted advances or contact.

Do you know the name of the person(s) involved? If so, please provide their full name(s) or any information you know about them (example; address, phone number, email, place of work, etc.).

Sexual Misconduct Form

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