FACSAFoundation.org Shattering The Silence Tour Documentary Project | Page 64

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 Unworthiness Alone Suicide Unloved Numbness Rejected _________ 20) I received counseling for the trauma I endured from being sexually assaulted. Circle One Strongly Agree Disagree Strongly Agree Disagree Doesn’t Apply 21) I used these methods for my healing and recovery. Circle All That Apply Books Professional Pastoral Self-Help Exercise Counseling Meditation Counseling Prescription Medication 22) I have developed the following because of the pain and trauma of sexual assault.