AdultClergyAbuseSurvey

* Indicates required field

Name or Nickname *

For privacy purposes, you do not have to share your full name

Are you an adult victim of clergy sexual abuse? *

Yes No

Clergy = anyone who is a pastor, priest, rabbi, etc. Anyone with spiritual authority.

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

Submit