Sex Offenses Questionnaire

Bold labels and This graphic indicates a required field. indicate required information.


Have you previously been convicted of a sex offense?

Have you been convicted of other offenses?

Are you on probation or parole?

Was anyone else arrested (including the person you were alleged to have assaulted)?

Was the alleged victim a friend, acquaintance or family member?

Have you discussed the alleged sex offense or sexual assault with anybody else?

Were you referred by somebody else?

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