Pandora's Box: The Secrecy of Child Sexual Abuse

Survey on Juvenile Sex Offenders

Please feel free to provide your opinions.

NOTE:
All optional identifying information will remain confidential.

Name (optional):


Title (optional):


Age:


I am a resident of the US
I am not a resident of the US.

City:


State:


Select the category that best describes you:


If "Other" ~ please describe:


Select the category that best describes your
primary work/advocacy/professional environment:


I believe Juvenile Sex Offenders should:
("Juvenile" ~ Those persons age 17 or less)

Please enter additional or explanatory comments:


I believe Juvenile Sex Offenders should:
("Juvenile" ~ Those persons age 17 or less)

Please enter additional or explanatory comments:


In my community, Juvenile Sex Offenders are generally:
("Juvenile" ~ Those persons age 17 or less)

Please enter additional or explanatory comments.


In my state, Juvenile Sex Offenders are generally:
("Juvenile" ~ Those persons age 17 or less)

Please enter additional or explanatory comments:


I know of one or more Juvenile Sex Offender Treatment facilities.   YES   NO

If you know of Juvenile Sex Offender Treatment
facilities, please list and describe below.

Treatment Program #1
1 - Facility Name:

2 - City and State:

3 - Provides treatment for juvenile males:
YES   NO   Don't Know
4 - Provides treatment for juvenile females:
YES   NO   Don't Know
5 - Type(s) of treatment:

6 - Is this a non-profit or state facility?
YES   NO   Don't Know
7 - Treatment Funded by:

8 - I would recommend this treatment program.
YES   NO   Don't Know
9 - Additional or explanatory comments:


Treatment Program #2
1 - Facility Name:

2 - City and State:

3 - Provides treatment for juvenile males:
YES   NO   Don't Know
4 - Provides treatment for juvenile females
YES   NO   Don't Know
5 - Type(s) of treatment:

6 - Is this a non-profit or state facility?
YES   NO   Don't Know
7 - Treatment Funded by:

8 - I would recommend this treatment program.
YES   NO   Don't Know
9 - Additional or explanatory comments:

Please feel free to contact me for further information.
YES   NO

Email Address (optional):

Telephone Number (optional):


If you get an error message when you select "Send,"
please try again. You should get an acknowledgement
that your survey responses have been submitted.

If you have any technical trouble completing and
sending this form, please email Dr. Faulkner.

Thank you for providing information on
concerns related to Juvenile Sex Offenders.

 
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