This one-page form for use in appointments has been designed to help adults who have experienced Child Sexual Abuse to communicate the impacts of their experience to others. A group of Leeds adults who have experienced this type of abuse have created the form together. They have found it useful themselves and hope that others will also benefit from using it.

The easy-to-use tool is completed and owned by individuals who have experienced Child Sexual Abuse. It provides a space to communicate the following with others:

  • What has happened to me?
  • Things that I struggle with
  • Emotional /mental health implications
  • Physical health
  • Medications
  • What’s helpful?
  • What’s not helpful?

Download the tool here.