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Women's Center
Citizens Bank Center for Student Involvement
3rd Floor
401-598-2248
Mon-Fri

South Hall Office
Room 152
401-598-1289
Mon-Fri

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Women's Center Student Survey
Please mark the appropriate response for each of the following questions.

Name Your information will be kept confidential!

Email address can be J&W or hotmail, yahoo, etc.

Students on the email list will receive monthly updates from the Center.

What type of concerns do you have? Choose all that apply.
Students can meet one-on-one with the director of the Women's Center to discuss issues confidentially.

Body Images Eating Disorder
Safety Issues Date Rape/Date Rape Drugs
Dating Abuse Relationship Issues
Contraception & Safer Sex Single Parenting
Self-esteem issues Alcohol & Drug Use
Lesbian/Transgendered/Bisexual Issues    

During what time of day are you most likely to attend a program or special event?

On which day of the week would you most likely attend a program or special event?

What type of program or event would you like to attend? Choose all that apply.

Movie Night (feature films)

Informal Workshop with Peer Input (on such issues as body image or relationships)

Informal Sessions on How To Help a Friend with a Problem (dating abuse, eating disorders, depression, etc.)

Formal Program with Special Guest Speakers from Community (on issues such as women's leadership or violence against women)

Community Service Event (such as helping with a benefit show or a reading program for children)

Each term we offer the following workshops. Please check those you would like to attend. (we will contact you)

Self-defense Lesson

Understanding Female Sexuality

Love Your Body (discuss why most women dislike their bodies and how we can take care of our bodies without obsessing)

Friends in Trouble (how to help and support friends with eating disorders/bad relationships. drug/alcohol abuse, etc.)

Please let us know how the women's center can best support you.

Can we send you other information based on the issues listed above?

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