1. The purpose of this survey is to get a better understanding of the reality of how often pregnancies
result from rape. As of now, the only reliable numbers that exist throughout the nation come from a
1996 survey published by the American Jurisprudence of Obstetrics and Gynecology, citing the
national number of pregnancies resulting from rape at 5% of all rapes annually. This number has
been widely cited and relied upon for 20 years, but the number of rapes fluctuates, the number of
reported rapes fluctuates, and this national average may reflect great disparities between the
number of pregnancies resulting from rape per state. This survey hopes to glean a better
understanding of how Minnesota women are affected by pregnancies resulting from rape.
TRIGGER WARNING:
The questions contained in this survey may be upsetting or triggering for survivors of sexual
assault or violence. If you are taking this survey as an individual survivor, not as a company or
organization, each question will have an “opt-out” option, which will always be the first answer
option provided under each question.
Welcome

2. Identification
1. You are participating in this survey as:
An individual survivor
A sexual assault survivor resource center
A prosecutor, member of the legal system, or an investigator
A healthcare provider, SANE, or SART

3. TRIGGER WARNING:
The questions contained in this survey may be upsetting or triggering for survivors of sexual
assault or violence. If you are taking this survey as an individual survivor, not as a company or
organization, each question (except those seeking to gain a demographic understanding) will have
an “opt-out” option, which will always be the first answer option provided under each question.
Feel free to exit the survey at any time.
Individual Survivor Questions
2. What is your age?
Younger than 18
18 - 22
23 - 27
28 - 35
36 - 45
46 - 54
55 or older
3. What Minnesota county do you live in?
4. With what gender do you identify?
Cisgender female
Cisgender male
Transgender female
Transgender male
Nonbinary
Gender nonconforming
Other
Prefer not to answer

4. 5. What is your sexual orientation?
Heterosexual
Homosexual
Bisexual
Asexual
Pansexual
Queer
Other
Prefer not to answer
6. What is your race/ethnicity? Please check all that apply
White
Black or African American
Hispanic or Latino
Native American or American Indian
Asian or Asian American
Pacific Islander
7. What is the highest level of education you have completed?
Never attended school or only attended kindergarten
Grades 1 through 8 (Elementary)
Grades 9 through 11 (Some high school)
Grade 12 or GED (High school graduate)
Higher education 1 year to 3 years (Some college or technical school)
Graduated technical school
Graduated college/university
Graduate School (Advance Degree)
Prefer not to answer

5. 8. To the best of your knowledge, what is your annual household income?
$15,600 or less
$15,700 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
Prefer not to answer
9. Have you ever been sexually assaulted?
Opt-out
Yes
No
10. Have you ever received counseling or assistance of any kind for any long-term mental health concerns
resulting from your sexual assault?
Opt-out
Yes
No
11. If you answered "Yes" to Question 10, and if you are comfortable, please provide a brief description of
the type of counseling or assistance that you received, be it traditional or non-traditional.
I.e., support groups, one-on-one counseling, medication, trauma-centered yoga practice, acupuncture etc.
12. Did you become pregnant as a result of your sexual assault?
Opt-out
Yes
No
I have never been sexually assaulted
I am unable to become pregnant

6. 13. Did you carry the pregnancy to term?
Opt-out
I carried the pregnancy to term
I did not carry the pregnancy to term, the pregnancy was terminated voluntarily (skip to question 17)
I did not carry the pregnancy to term, the pregnancy was terminated involuntarily (skip to question 17)
14. Did you keep the child, put it up for adoption, or another option?
I.e., leave the child at a church, police station, or hospital, give the child to a family member or
acquaintance to raise without using the adoption system, etc.
Opt-out
I kept the child
I put the child up for adoption
I sought another option
15. Does the father or putative father know of the child’s existence?
Opt-out
Yes
No
Unsure
16. If the father or putative father does know of the child’s existence, has he attempted to contact or
otherwise be involved in the life of the child, whether the child is still in your custody or not?
Opt-out
Yes
No
Unsure
17. Did you pursue/are you currently pursuing anycriminal action against the abuser for rape?
Opt-out
Yes
No

7. 18. Did you pursue/are you currently pursuing anycivil action against the abuser for rape?
Opt-out
Yes
No
19. Would you like to be contacted with the results of this survey upon statewide completion?
Yes
No

8. None of these questions are mandatory to answer to complete the survey. If you feel that you
cannot confidently answer a question, or the question does not apply to your field of work, just
leave it without a response.
All Non-Individual Responders General Questions
Age range
Average age
Geographic area served
(may use city, county, zip
code, etc.)
Average annual household
income (if known)
Ethnicities/races served
(include as many as you
can confidently name)
What percentage of your
clients are female or
female-identifying?
What percentage of your
clients are male or male-
identifying?
What percentage of your
clients are LGBTQ+? (If
known)
20. What is the general demographic makeup of the clients that you serve?
21. How many victims of rape or sexual assault do you provide services to each year, on average, or by
your best estimate?
Annually?
Throughout your career
working with
victim/survivors?
22. How many victim/survivors have you been aware that have become pregnant as a result of rape?
[To the best of your knowledge, or as accurate of an estimate as you can provide]

9. 23. Of the victim/survivors that became pregnant as a result of rape, how many have you counseled
through their options regarding the pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
24. Of the victim/survivors that became pregnant as a result of rape, how many have you served that
chose to terminate their pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
25. Of the victim/survivors that became pregnant as a result of rape, how many have you served whose
pregnancies were terminated involuntarily?
I.e., a miscarriage
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
25% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

10. 26. Of the victim/survivors that became pregnant as a result of rape, how many have you served that
chose to carry their pregnancy to term?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
27. Of those victim/survivors that carried their pregnancies to term, how many chose to keep the child?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
28. How many chose to put the child up for adoption?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
29. How many chose an alternate method for what to do with the child?
I.e., leaving the child at a church, hospital, fire station, etc., giving the child to a family member or other
acquaintance to raise without using the adoption system?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

11. 30. Of the victim/survivors that carried the pregnancies to term, how many of the fathers or putative fathers
knew of the child’s existence?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
31. Are you aware of any fathers or putative fathers who tried to contact or otherwise be involved in the life
of the child, whether the child was still in the custody of the victim/survivor or not?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
Yes
No
Unsure
32. Are you aware of any fathers or putative fathers who brought legal action to assert parenting time or
custody of the child, whether the child was still in the custody of the victim/survivor or not?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
Yes
No
Unsure
33. You are participating in this survey as:
A sexual assault survivor resource center
A prosecutor, member of the legal system, or an investigator
A healthcare provider, SANE, or SART

12. Sexual Assault Survivor Resource Center Questions
34. How many victim/survivors have you served that became pregnant as a result of a rape, and chose to
report to the criminal justice system?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
35. How many of these victim/survivors that reported to thecriminal justice system opted to carry their
pregnancy to term?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
36. How many of these victim/survivors that reported to thecriminal justice system opted to terminate their
pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

13. 37. How many of these victim/survivors that reported to thecriminal justice system had their pregnancies
terminated involuntarily? I.e., a miscarriage.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
38. How many victim/survivors have you served that became pregnant as a result of their rape, and chose
to pursue a civil action against the father or putative father?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
39. How many of these victim/survivors that chose to pursuecivil action opted to carry their pregnancy to
term?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

14. 40. How many of these victim/survivors that chose to pursuecivil action opted to terminate their
pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
41. How many of these victim/survivors that chose to pursuecivil action had their pregnancies terminated
involuntarily? I.e., a miscarriage.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
42. How many victim/survivors have you served that became pregnant as a result of their rape, and chose
not to pursue any kind of legal actionagainst the father or putative father?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

15. 43. How many of these victim/survivors that chosenot to pursue any kind of legal actionopted to carry their
pregnancy to term?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
44. How many of these victim/survivors that chosenot to pursue any kind of legal actionopted to terminate
their pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
45. How many of these victim/survivors that chosenot to pursue any kind of legal actionhad their
pregnancies terminated involuntarily? I.e., a miscarriage
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

16. 46. What percentage of all victim/survivors that you provide services to receive some kind of mental health
counseling or assistance?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
47. What percentage receive traditional mental health counseling or assistance?
I.e., one-on-one counseling, support groups, medication, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
48. What percentage receive non-traditional mental health counseling or assistance?
I.e., trauma-centered yoga practice, meditation, acupuncture, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

17. 49. What percentage of victim/survivors that you provide services to that you are awarebecame pregnant
as a result of a rape, receive some kind of mental health counseling or assistance?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
50. What percentage receive traditional mental health counseling or assistance?
I.e., one-on-one counseling, support groups, medication, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
51. What percentage receive non-traditional mental health counseling or assistance?
I.e., trauma-centered yoga practice, meditation, acupuncture, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

18. 52. What percentage receive specific pregnancy-related counseling or assistance?
I.e., birthing classes, parenting classes, pre-birth counseling, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
53. Would you like to be contacted with the results of this survey upon statewide completion?
Yes
No

19. Prosecutor, Legal System Member, or Investigator Questions
54. What legal options are you currently aware of that best assist victim/survivors that became pregnant as
a result of their rape and choose to keep the child, who are currently participating in the legal system, to
seek action against the father or putative father?
I.e., additional criminal charges, child support waivers for good cause, additional civil action, etc.
55. What legal options are you currently aware of that best assist victim/survivors that became pregnant as
a result of their rape and choose to terminate the pregnancy, who are currently participating in the legal
system, to seek action against their abuser?
I.e., additional criminal charges, additional civil action, etc.
56. Would you like to be contacted with the results of this survey upon statewide completion?
Yes
No

20. Healthcare Provider, SANE, or SART Questions
Other (please specify)
57. When you serve a victim/survivor who is concerned about a possibility of pregnancy, do you have
conversations about any of the following:
Plan B or other emergency contraceptives
Adoption services
Abortion
Family support
Other
58. What percentage of victim/survivors that you provide services to receive some kind of mental health
counseling or assistance?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
59. What percentage receive traditional mental health counseling or assistance?
I.e., one-on-one counseling, support groups, medication, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

21. 60. What percentage receive non-traditional mental health counseling or assistance?
I.e., trauma-centered yoga practice, meditation, acupuncture, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
61. What percentage of victim/survivors who you serve that became pregnant as a result of their rape
actively pursued pre-natal care upon learning of their pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
62. What percentage of victim/survivors who you serve that became pregnant as a result of their rape
chose not to receive pre-natal care of any kind upon learning of their pregnancy?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

22. 63. How many victim/survivors that you provide services to that you are aware became pregnant as a
result of their rape, receive some kind of mental health counseling or assistance?
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
64. How many receive traditional mental health counseling or assistance?
I.e., one-on-one counseling, support groups, medication, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
65. How many receive non-traditional mental health counseling or assistance?
I.e., trauma-centered yoga practice, meditation, acupuncture, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer

23. 66. How many receive specific pregnancy-related counseling or assistance?
I.e., birthing classes, pre-birth counseling, etc.
[To the best of your knowledge, or as accurate of an estimate as you can provide]
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Not applicable/Can't answer
67. How much of your SANE/SART training, if any, is dedicated to best responses to victim/survivors who
learn they have become pregnant as a result of their rape?
[If not a registered SANE/SART, please write "N/A"]
68. Please provide as best a summary as possible of what this training says about this situation and/or this
type of victim/survivor.
[If not a registered SANE/SART, please write "N/A"]
69. Would you like to be contacted with the results of this survey upon statewide completion?
Yes
No