FACSAFOUNDATION.ORG SHATTERING THE SILENCE TOUR DOCUMENTARY PROJECT Volume 7 | Page 66
22) I have developed the following because of the pain and trauma of sexual assault.
Circle all that apply.
Drug/Alcohol
Sexual
Depression Suicidal
Drama
Addiction
Addiction
Cutting
Addiction
PTSD
23) I have problems trusting others. Circle
One
Strongly
Agree
Disagree Strongly
Agree
Disagree
Doesn’t
Apply
24) My family and I have a close relationship. Circle One
Strongly
Agree
Disagree Strongly
Agree
Disagree
Doesn’t
Apply
25) I trust my partner. Circle One
Strongly
Agree
Disagree Strongly
Agree
Disagree
Doesn’t
Apply
26) I respect my partner. Circle One
Strongly
Agree
Disagree Strongly
Doesn’t
Weight Issues
Cutting