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Fraud Victim Survey

Fraud Victim Survey

2. What is your gender?
3. Your marital status:
6. Have you been a victim of fraud?
7. Answer all of the following questions in regard to your most egregious fraud experience

As result of my fraud experience (s), I have suffered the financial loss of...
8. Did you report the fraud to the police?
8. Did you report the fraud to an organization such as the Better Business Bureau or Internal Revenue Service?
9. Concerning the most egregious episode in which you were defrauded, Do you recall how the person (s) who defrauded you made initial contact?
10. Did the individual (s) who approached you.....?
11. When you think back to the individual who perpetrated the fraud, which elements of their style do you think made you believe them?  (Check all that apply).
12. What type of fraud was committed against you? (Check all that apply)
13. Were you threatened with violence or legal action during the course of the fraudulent event?
14. How long did it take to resolve the fraud issue once it was discovered?
15. For each of the following statements, please rate the degree to which you feel that the fraud experience has changed how you manage things.

I am more cautious about engaging in transactions online with unfamiliar vendors.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
16. My ability to trust others was affected by my fraud experience.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
17. As the result of my fraud experience, I am..
18. Rate the frequency of the possible reactions (below) you could have/had due to your fraud experience.
NeverSeldomOftenVery OftenAlmost All the Time
Anger
Pleasure
Embarrassment
Disgust
Curiosity
Shame
Enjoyed the Attention
Confusion
Fear
Surprise
Excitement
Guilt
Shock
Helplessness
19. Consider the period of time lasting six months after you discovered that you had been defrauded. Now, for each of the following statements, please rate the degree to which you agree or disagree that your life has been affected as a direct result of having been defrauded.

I fell for the scam because the other person (s) was so convincing that anyone would have fallen for it.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
20. I fell for the scam because I am too trusting and it is mostly my own fault.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
21. A friend or family member urged me to trust the person who scammed me, and they are at fault.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
22. I fell for the scam because I was not paying attention and I should have been.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
23. I had no idea I was being taken advantage of.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
24. Consider the six months after you discovered you were defrauded. For each of the following statements, please rate the degree to which you agree or disagree that your life has been affected as a direct result of having been defrauded.

I have felt restless (feeling keyed up or on edge). 
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
25. I have felt irritable.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
26. I have experienced muscle tension.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
27. I felt sad most of the day.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
28. I felt a sense of hopelessness and emptiness.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
29. I felt a loss of interest in many of my daily activities.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
30. I had noticed a decrease in my appetite.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
31. I experienced a sudden weight loss or weight gain (that cannot be attributed to diet and exercise).
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
32. I had difficulty sleeping (falling asleep, staying asleep, restless or unsatisfying sleep).
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
33. I have felt fatigued and lacking in energy.  
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
34. I have experienced feelings of guilt.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
35. I have experienced feelings of worthlessness.
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
36. I had difficulty thinking clearly and difficulty concentrating.
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
37. I had difficulty with making decisions (indecisiveness).
Strongly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeStrongly Agree
38. My physical health suffered due to my experience with fraud:
Strongly DisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeStrongly Agree
39. After your fraud experience were there differences in your interactions with your significant other? 
Yes.No.I do not have significant other
39. How has your fraud experience impacted your relationship with your significant other (spouse, boyfriend/girlfriend, life partner)?
In a Strongly Positive WayIn a Somewhat Positive WayIn a Neither Positive or Negative WayIn a Somewhat Negative WayIn a Strongly Negative Way
39. In general how satisfied are you with your relationship with your significant other? 
Very SatisfiedSomewhat SatisfiedNeutralSomewhat UnsatisfiedVery Unsatisfied
39. How important is it to you that your significant other understands your fraud experience? 
Very ImportantSomewhat ImportantNeither Important or UnimportantSomewhat UnimportantNot Important at All
39. Did you tell your significant other of the fraud or loss of money?
39. If your relationship with your significant other has been impacted how has your relationship been impacted? (Check All that Apply)
39. Did your fraud experience impact your relationships with family members (mother/father, brother/sister, aunts/uncles)? 
40. How satisfied are you with your current relationship (s) with your family members?
Very UnsatisfiedSomewhat UnsatisfiedNeutralSomewhat SatisfiedVery Satisfied
40. How has your fraud experience impacted your relationship (s) with your family members (mother, father, sister, brother, son, daughter).
In a Strongly Positive WayIn a Somewhat Positive WayIn Neither Positive or Negative WayIn a Somewhat Negative WayIn a Strongly Negative Way
40. How important is it to you, that your family understands your experience?
Very ImportantSomewhat ImportantNeither Important or UnimportantSomewhat UnimportantNot Important
40. How important is it to you, that your family is supportive and encouraging with regard to your fraud experience? 
Very ImportantSomewhat ImportantNeither Important or UnimportantSomewhat UnimportantNot Important
40. How has your relationship (s) with your family members been affected by your fraud experience (Check all that apply)?
40. Has your fraud experience impacted your relationship (s) with your friends?
Yes.No.
41. How has your fraud experience impacted your relationship (s) with your friends? 
In a Strongly Positive WayIn a Somewhat Positive WayIn Neither a Positive or Negative WayIn a Somewhat Negative WayIn a Strongly Negative Way
41. How satisfied are you with relationship (s) with your friends?
Very UnsatisfiedSomewhat UnsatisfiedNeither Important or UnimportantSomewhat SatisfiedVery Satisfied
41. My relationship (s) with my friends has been impacted in the following ways: (Check All That Apply)?
41. Has your relationship (s) with your co-workers been affected by your fraud experience? 
Yes.No.
42. How important is your relationship (s) with your co-workers in your life?
Very ImportantSomewhat ImportantNeither Important nor UnimportantSomewhat UnimportantNot Important
42. I spend time with co-workers outside of work.
NeverSeldomOftenVery OftenAlmost All of the Time
42. In what way has your relationship been affected by your coworkers (Check All that Apply)?
42. As the result of my fraud experience the following consequences (Check All That Apply). 
43. Rate the accuracy of each statement as it applies to your beliefs about yourself, others and the world: 

Hypocrisy is on the increase in our society.
Always TrueSomewhat TrueNeither True or FalseSomewhat FalseNever True
44. One is better off being cautious when dealing with strangers until they have provided evidence that they are trustworthy.
Always TrueSomewhat TrueNeither True or FalseSomewhat FalseNever True
45. Most people can be counted on to do what they say they will do.
Always TrueSomewhat TrueNeither True or FalseSomewhat FalseNever True
46. In these competitive times, one has to be alert, or someone is likely to take advantage of you.
Always TrueSomewhat TrueNeither True or FalseSomewhat FalseNever True
47. Most repairman will not overcharge, even if they think you are ignorant of their specialty.
Always TrueSomewhat TrueNeither True or FalseSomewhat FalseNever True