Or download the PDF in our online toolkit.
  
     
Sample Survey
Your answers to the following questions will help evaluate how our school and community are affected by Teen Dating Violence. Although it's hard recognize when the relationship involves a friend, we want to help people in not-so-healthy or outright abusive relationships. By answering these questions honestly, you'll help protect your friends and classmates from TDV and raise awareness about the issue.


1. What are some characteristics of a healthy relationship?

a.
b.
c.


2. What are some characteristics of an unhealthy relationship?

a.
b.
c.


3. Have you ever felt that you or any of your friends were involved in an unhealthy relationship? Circle one.

     Yes          No


4. Have you ever thought about speaking to someone in an unhealthy relationship but decided against it? Circle one.

     Yes          No


5. If you answered yes to question 4, what were some reasons that prevented you from speaking up?

a.
b.
c.



Thanks for taking the survey. Your answers have been given anonymously and will be kept confidential. If you want to get involved with this issue further or need resources for you or a friend because of an abusive situation, please go to www.SeeItandStopIt.org for information.


Download a PDF of the Project Sheets in our Online Toolkit.