FACSAFOUNDATION.ORG SHATTERING THE SILENCE TOUR DOCUMENTARY PROJECT Volume 2 January 2015 | Page 85

18) Did this person go to jail? Circle One
Yes

Doesn’t

No

Apply

19) What happened to the perpetrator? Fill In The Blank
__________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________________________

20) After the sexual assault, I had feelings of Circle all that apply and/or make a comment.
Self-Loathing
Guilt

Anger Depression

Unw