If you cannot run a separate survey on gender-based violence at your institution, we recommend adding a few questions to existing institutional surveys that are run on a regular basis. For example, surveys on staff/students’ well-being, students’ satisfaction surveys or course evaluations. Questions should cover prevalence of different forms of gender-based violence, including not only sexual violence and sexual harassment but also other forms, such as psychological or economic violence, from survivors’ and bystanders’ perspective as well as one question on the respondents’ reporting behaviour. As outlined before, we recommend describing concrete situations instead of using specific terms which might be understood differently. Find the questions below:

• Prevalence Question from Survivors’ Perspective:

In the next set of questions, we would like to ask you about your experiences of gender-based violence with persons connected with your institution. Since you started at your institution, has someone ever done any of the following to you? (Please choose one answer for each line.)

(A) Interrupted you, spoke over you or addressed you in disrespectful terms in front of others
(B) Ignored you or did not speak to you
(C) Gave you hostile looks, stares, or sneers
(D) Harmed your work or studies through unfairly restricting access to financial resources (e.g. by withholding a grant, a travel allowance, a contract, a promotion, etc.
(E) Threatened to hurt you physically
(F) Made you take part in any form of sexual activity when you did not want to or you were unable to refuse
(G) Made sexually suggestive comments or jokes
(H) Stared or leered inappropriately at you
(I) Asked intrusive questions about your private life
(J) Bullied, threatened or attacked you online, e.g. via social media

❒ Prefer not to say
Answer Categories: (1) Yes (2) No

• Prevalence Question from Bystanders’ Perspective:

Since you started at your institution, have you ever noticed someone else being harassed in any of the following ways?

(A) Interrupted, spoke over or addressed someone else in disrespectful terms in front of others
(B) Ignored or did not speak to someone else
(C) Gave someone else hostile looks, stares, or sneers
(D) Harmed someone else’s work or studies through unfairly restricting access to financial resources (e.g. by withholding a grant, a travel allowance, a contract, a promotion, etc.)
(E) Threatened to hurt someone else physically
(F) Made someone else take part in any form of sexual activity when they did not want to or they were unable to refuse
(G) Made sexually suggestive comments or jokes
(H) Stared or leered inappropriately at someone else
(I) Asked intrusive questions about someone else’s private life
(J) Bullied, threatened or attacked someone else online, e.g. via social media

Answer Categories: (1) Yes (2) No

• Question on Reporting Behaviour:

Thinking now of the incident(s) of violence that you have experienced since you started at your institution, did you report it/any of them?

Answer Categories: (1) Yes (2) No (3) Prefer not to say

• Question on Reporting Behaviour by Bystanders:

Thinking now of the incident(s) of violence that you have noticed or witnessed since you started at your institution, did you report it/any of them?

Answer Categories: (1) Yes (2) No (3) Prefer not to say