EmailMe Form - Prevention of Sexual Violence

Name *

First Last

Today's Date *

MM / DD / YYYY

Site/House Location *

1. Are vulnerable adults at a higher risk of sexual violence and abuse? *

Yes

No

2. Is it appropriate for a Zumbro House employee to talk about sexually explicit topics with a resident? *

Yes

No

3. Bodily Autonomy is when an individual has the right to govern their body without influence and pressure. *

Yes

No

4. If a resident requests privacy while using the bathroom, the DSP should shut the door and wait outside the bathroom?

Yes

No

5. Consent can be given by word or action and an individual may remove consent at any time during the sexual act either verbally or non-verbally. *

Yes

No

6. A Zumbro House Employee is allowed to have sexual relations with a Zumbro House resident? *

Yes

No