Experiences Of Violence Questionnaire
 
 
  Experiences Of Violence During The Last 5 Years
 

This questionnaire is totally anonymous and you will not be asked for any contact details etc.

You have chosen to fill out a questionnaire, which will ask questions concerned about violence you have both witnessed and personally experienced. If you haven't had a personal experience of violence, when you were threatened or assaulted in the past 5 years, then click here to fill out an alternative question concerned only with your pereceptions of violence.

This questionnare consists of 25 questions all of which should be answered.

It should take no more than 5 minutes to complete

Instructions For The Questionnaire

Throughout the questionnaire certain classifications are used to refer to certain types of aggressive and violent behavior.

Their definitions are provided below:

  • verbal abuse - threats, shouting, intimidating language etc
  • verbal abuse with contact - threats, shouting, intimidating language etc, combined with pushing, grabbing (non physically harmful actions) etc
  • physical assault - punches, kicks, chokes, headlocks etc where the aggressor is attempting to cause physical harm and injury
  • threat with a weapon - use of a knife, gun etc in a threatening manner which in itself is not causing physical harm e.g. having a knife held at the throat
  • assault with a weapon - use of a knife, gun etc to cause actual harm e.g. being shot, stabbed etc

    • 1. Please choose the options, which best describe the number of aggressive/violent incidents that you have WINESSED FIRST HAND
    (and that you haven’t been directly involved in) in the last 5 years:
    Never
    Once
    2-3 Times
    4-5 Times
    5 Or More Times
    verbal abuse
    verbal abuse with contact
    physical assault
    threat with weapon
    assault with a weapon

    2. Please choose the options, which best describes the extent/degree to which you believe the following types
    of aggression and violence have increased in society during the past 5 years:
    Not At All
    Somewhat
    Significantly
    Dramatically
    verbal abuse
    verbal abuse with contact
    physical assault
    threat with a weapon
    assault with a weapon

    3. Please choose the options, which best describes the frequency with which you think about possibly being involved
    in the following types of aggressive/violent situations:
    Never
    Daily
    Weekly
    Monthly
    verbal abuse
    verbal abuse with contact
    physical assault
    threat with a weapon
    assault with a weapon

    4. Please choose the options, which best describes the age group which is MOST LIKELY to be responsible for the following aggressive and violent acts:
    Under 14 years
    15 - 19 years
    20 - 29 years
    30 - 39 years
    40 - 49 years
    Over 50 years
    verbal abuse
    verbal abuse with contact
    physical assault
    threat with weapon
    assault with a weapon

    5. Please choose the options, which best describes the location where you believe you are MOST LIKELY to be involved in the following aggressive and violent situations:

  • open/public space - e.g. park, recreation ground, waste ground etc
  • public transport - e.g. buses, trams, subway trains, trains etc
  • commercial streets - e.g. shopping districts, malls, streets with mainly shops etc
  • places of entertainment - e.g. bars, pubs, clubs, restaurants, cinemas etc
  • residential streets - e.g. streets on which people live, residential districts etc
  • private places & homes - e.g. your own home, someone elses, any place not open to general public excluding private places of entertainment
  • work - e.g. the place where you work, except those areas covered by the above definitions

    		•
    open/public space
    public transport
    commercial streets
    places of entertainment
    residential streets
    private places & homes
    at work
    verbal abuse
    verbal abuse with contact
    physical assault
    threat with weapon
    assault with a weapon

    6. Please choose an option which best describes how well you think you would handle the following situations
    badly
    moderately well
    very well
    a person verbally abusing you (no physical contact)
    a person verbally abusing you with physical contact
    a person physically assaulting you
    a person threatening you with a weapon
    a person assaulting you with a weapon

    7. Please choose the option that best describes the time you have spent, in the last 5 years, practising a martial arts or self defense system:

    none or less than 1 month
    1 - 6 months
    6 months - 1 year
    1 - 3 years
    3 - 5 years

    Please answer the following questions about the LAST physically violent situation you were involved in, in the last 5 years.

    8. Please choose the option that best describes the location where the assault took place:

    open/public space
    public transport
    commercial streets e.g. shopping areas etc
    place of entertainment e.g. bar, clubs etc
    residential streets
    private place or homes

    9. Please choose the option that best describes your relationship with your attacker(s):

    stranger
    someone I knew by sight
    someone I knew to speak to
    work acquaintance
    friend of someone I knew
    friend
    family member

    10. Please choose the option that best describes the number of attacker(s):

    one person
    two people
    three people
    four or more people

    11. Please choose the option that best describes the time of day the attack took place:

    6 pm - 9 pm
    9 pm - 12 am
    12 am - 3 am
    3 am - 6 am
    6 am - 9 am
    9 am - 12 pm
    12 pm - 3 pm
    3 pm - 6 pm

    12. Please choose the option that best describes the age (or average age) of your attacker(s):

    Under 14 Years Of Age
    15-19 Years Of Age
    20-29 Years Of Age
    30-39 Years Of Age
    40-49 Years Of Age
    50 + Years Of Age

    13. Please describe briefly how the assault/attack started e.g. 'I was grabbed and then punched', 'I was threatened with a knife and told to hand over my wallet' etc (If a weapon was at all involved please mention this):


    14. Please choose the option that best describes what you believe to be your attacker(s) motive:

    financial e.g. they were trying to rob me
    peer pressure e.g. they were showing off in front of friends
    slight e.g. they thought I was disrespectful to them
    disagreement e.g. over some issue
    sexual

    15. Please choose the option that best describes the gender of your attacker(s):

    Male(s)
    Female(s)
    Male(s) & Female(s)
    unknown

    16. Please choose the option that best describes how your attacker(s) approached you:

    I was initially asked a civil question before I was assaulted e.g. have you go the time etc
    I was initially having a civil conversation with my attacker(s)
    My attacker(s) initially approached me using aggressive language
    My attacker(s) approached me without saying a word and then attacked me
    I never even saw my my attacker(s) before I was assaulted

    17. Please choose the option that best describes the injuries you sustained after the attack:

    None
    Minor Cuts & Bruises
    Major Cuts & Bruising
    Required hospital treatment

    18. Please choose the geographic region/continent where you live (the second box will be populated with a country. For US Citizens, once you have selected USA, the same box will be populated with a list of states) :



    19. Please choose the option which best describes the area in which you live:

    City Centre
    City Suburbs/Surrounding Areas
    Town Centre
    Town Suburbs/Surrounding Areas
    Village

    20. Please choose the option which best describes your living arrangements

    live alone
    live with partner/spouse (no children)
    live with partner/spouse with children
    live with friends
    live with other people
    live with parents/family

    21. Please choose the option that best describes your gender:

    Female
    Male
    Other

    22. Please choose the option that best describes your age group:

    Under 14 Years Of Age
    15-19 Years Of Age
    20-29 Years Of Age
    30-39 Years Of Age
    40-49 Years Of Age
    50 + Years Of Age

    23. Please choose the option that best describes your professional occupation/position:

    higher level managerial, administrative or professional etc
    intermediate managerial, administrative or professional etc
    supervisory or clerical, junior managerial, administrative or professional
    skilled manual worker
    casual or manual worker
    on state benefit - pension, medical or long term unemployed
    full time student

    24. Please select the option which best describes your education:

    some high school
    high school
    college
    university/master
    doctor
    professor
    other

    25. On a scale of 1-5 (5 being the highest i.e. 'very' and 1 being the lowest i.e. 'not at all') please rate yourself in the following areas:
    1
    2
    3
    4
    5
    how outgoing you are
    how optimistic you are
    how ready to compromise you are
    how spontaneous you are
    how open to new experiences you are

    This is the end of the questionnaire. Please press the 'Submit' button below to save the results.