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Anonymously report an incident

Our questions can allow for multiple answers. The options available may not encapsulate every possibility, but please choose the ones that best fit your experience.

All questions need to be answered in order for you to submit the form.

About the incident

Which of the following best describes the incident?
Please tick all that apply.
Please tick the most appropriate option.
Please tick the most appropriate option.
Do you think the incident(s) was motivated by any of your actual or perceived characteristics? Please tick all that apply.
Please tick the most appropriate option.
When did the incident happen? If the incident is part of a pattern of behaviour, please tick all that apply.
Please tick the most appropriate option.
What time of day did the incident happen? If the incident is part of a pattern of behaviour, please answer based on the most common time that you experience the behaviour.
Please tick the most appropriate option.
Where did the incident happen? Please tick all that apply.
Please tick the most appropriate option.
Where on campus did the incident happen? Please tick all that apply.
Please tick the most appropriate option.
Where off campus did the incident happen? Please tick all that apply.
Please tick the most appropriate option.
Where online did the incident happen? Please tick all that apply.
Please tick the most appropriate option.
Have you told anyone else about the incident? Please tick all that apply.
Please tick the most appropriate option.

About the perpetrator(s)

The perpetrator(s) were Please tick all that apply.
Please tick the most appropriate option.
What was the age of the perpetrator(s)? Please tick all that apply if there was more than one perpetrator.
Please tick the most appropriate option.
What was the sex of the perpetrator(s)? Please tick all that apply if there was more than one perpetrator.
Please tick the most appropriate option.

About you

Further details

Which of the following best describe why you are choosing to report the incident anonymously rather than to receive support from our Harassment Support Network? Please tick all that apply.
Please tick the most appropriate option.
How did you find out about this form? Please tick all that apply.
Please tick the most appropriate option.
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