Principle Researcher: Mary Pudmoreff, M.Ed, PhD Candidate, University of Alberta. Contact by phone at 780.416.0224 or email@example.com
Academic Advisor: Dr. Barbara Paulson, Department of Educational Psychology, University of Alberta, 780.492.5298
Hello! My name is Mary Pudmoreff and I am a PhD student in the Counselling Psychology program at the University of Alberta. For my dissertation, I am doing research aimed at gaining a better understanding of what is helpful and unhelpful when overcoming or healing childhood sexual abuse. It is hoped that this information will highlight strategies for healing that will be useful for adult survivors of childhood sexual abuse as well as for therapists and other individuals who support survivors.
I am seeking participants who:
If these characteristics describe you, I would love to hear about what helped you overcome the childhood abuse you experienced. This research will involve three phases and you can participate in one, two or all three of the phases.
Currently, for the first phase of my study, I am seeking individuals who meet the above description and who would be willing to provide some demographic information and answer a few open-ended questions about what helped them to heal or overcome the abuse. This task would take you approximately 30 to 45 minutes and could be completed anonymously with your responses being returned by mail.
If you are able to participate in this research, please contact me by phone at 780.4160224 or by e-mail at firstname.lastname@example.org to arrange for a copy of the demographics form and questionnaire. Also, if you would like more information or have any questions, please feel free to contact me.
I would like to thank-you for your time and interest.
Sincerely, Mary Pudmoreff, M.Ed.
Please note the following:
Demographic Information Sheet
You should have already received a copy of the Study Description that outlines your rights as a participant in this research. If you have not seen this form, please ask me for a copy. Your completion of this form acts as you providing your informed consent. If you have any questions, please do not hesitate to contact me.
In order to know a little bit of information about the participants in this study, I ask that you please complete ALL of the following questions. Do NOT include your name. All responses will be treated as confidential and will only be reported in terms to describe the group of participants.
Gender: _____female _______ male
Ethnicity/Cultural background: _____ Caucasian-Canadian (White)
_____ First-Nations-Canadian (Aboriginal)
_____ Indo-Canadian (India)
_____ Other: please specify: ______________________________
Marital Status: _____ Never married _____ Divorced
_____ Common-Law _____ Remarried
_____ Married _____ Widowed
_____ Separated _____ Other, please specify: _________
Do you have children? _____ no ______ yes; if yes, how many? ______
How many different people sexually abused you when you were a child? ______
How old were you when you were sexually abused? ___________________
How many of your offenders were female? _____ How many offenders were male? ______
In total, on how many different occasions were you sexually abused? _____ once
_____ 2 10 times
_____ 11 20 times
_____ over 20 times
Did you know the person/people who sexually abused you? _____ no (stranger) _____ yes
Was/were the offender(s) related to you? _____ no _____ yes; if yes, what was the relationship(s):
Have you ever attended therapy or counselling? _____ No _____ Yes
Ø If yes, please answer the following questions:
Was the therapy/counselling focused on the effects of the sexual abuse? _____ No _____ Yes
Approximately how many sessions did you attend? _____ Less than 6 sessions
_____ 6 - 10 sessions
_____ 10 - 20 sessions
_____ over 20 sessions
Please return this demographic form with the questionnaire on the next page to Mary Pudmoreff in whichever way is most convenient for you:
ü In person, by prior arrangement or to arrange call me at (780) 416-0224
ü By e-mail to email@example.com or
ü By traditional mail to: Mary Pudmoreff, c/o Dr. Barbara Paulson 6-102 Education North, Department of Educational Psychology, University of Alberta, Edmonton T6G 2G5
If you would like a summary of the final results of this study, please provide the researcher with a written request that includes your name and mailing address or e-mail address
Questionnaire: Healing from Childhood Sexual Abuse
You should have already received a copy of the Study Description that outlines your rights as a participant in this research. If you have not seen this form, please ask me for a copy. Your completion of the demographic form and this questionnaire acts as you providing your informed consent. If you have any questions, please do not hesitate to contact me.
Which ONE statement most closely reflects how much you feel you have healed or overcome the abuse:
_____ It never effected me in the first place so there was nothing to heal.
_____ I havent really healed much at all. Ive only just begun my journey.
_____ Ive definitely started healing, but Im only in the early stages.
_____ Id say Im about half-way through my healing. Ive dealt with a lot, but I think there is still quite a bit more to do.
_____ Ive dealt with lots and Id say Ive overcome almost all of the negative effects of the abuse. I think Im almost done.
_____ I think that I have overcome the negative effects and that Im completely healed.
Please answer the following questions as completely as possible. Use as much space as you require.
1) What has contributed to your overcoming the childhood sexual abuse you experienced? What has helped you heal from the childhood sexual abuse you experienced?
2) If you received counselling/therapy, please describe the aspects of it that were helpful in your healing or recovery.
3) What interfered with your healing from the childhood sexual abuse you experienced? What was unhelpful or got in the way of your recovery?
4) Is there anything else you would like to describe about what has helped or not helped your healing/recovery from childhood sexual abuse?
Please ensure that this questionnaire is returned with the demographics form
If you would be/might be willing to participate in the sorting task (Edmonton area participants only) or the subsequent survey (participants from everywhere), please fill in the following information.
(for participation in the survey, e-mail address is all that is required if you prefer)
Detach and mail separately if desired
Name: ____________________ Phone Number: ( )________
Mailing Address: ___________________________________________________________
City/Town: ___________________________ Province/State: ________
E-mail Address: __________________________________