Campus Safety Survey
Name (optional)
First Name
Last Name
Gender
Please Select
Female
Male
Transgender
Gender-neutral
Prefer not to say
Year of Birth
Ethnicity
Please Select
White or Caucasian
Hispanic or Latino
Asian or Asian American
African American
Native American or Indian
Native Hawaiian & other Pacific Islander
Native Alaskan
Multi-racial
Other
Major
Grade
Please Select
Freshman
Sophomore
Junior
Senior
Post-graduate
Other
Where do you stay at?
On-campus
Off-campus
How much do you feel safe at campus?
Very Unsafe
1
2
3
4
5
6
7
8
9
Very Safe
10
1 is Very Unsafe, 10 is Very Safe
Do you have any experience that affected your feelings about safety at campus negatively?
Yes
No
Please give details, if you want to
Please rate the safety level of each of the following locations of campus
On the alleys of the campus
1
2
3
4
5
Parking lots
1
2
3
4
5
Campus buildings
1
2
3
4
5
Around campus
1
2
3
4
5
Inside the public transportation vehicles in campus
1
2
3
4
5
Please state your agreement with the following elements of campus safety
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Lit walkways
1
2
3
4
5
Security guards
6
7
8
9
10
Campus police
11
12
13
14
15
Emergency phone lines
16
17
18
19
20
Safety seminars
21
22
23
24
25
Self-defense classes
26
27
28
29
30
Please share your comments
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