How safe do you feel?
1. How safe or unsafe do you feel when outside in your local area?
               
  During the day              
  After dark              
2. If you feel unsafe, why is that?  Please tick all that apply.
 
3. What do you think would help to reduce crime in your local area?  Please tick all that apply.
 
4. Thinking about this local area, how much of a problem do you think each of the following are:
           
  Noisy neighbours or loud parties          
  Teenagers hanging around the streets          
  Rubbish or litter lying around          
  Vandalism, graffiti and other deliberative damage (e.g. fire) to property or vehicles          
  People being drunk or rowdy in public places          
  Abandoned or burnt out cars          
  Domestic abuse          
  Violent crime          
  Your home being broken into and something stolen          
  Having a car stolen/damaged or broken into          
  Being assaulted or harassed because of your race          
  Being harassed by individuals or groups in your area          
  Being robbed or mugged in your area          
  Being sexually assaulted or harassed in your area          
5. Would you personally like to help to make a difference in your local area?
6. There are a number of ways people can get involved in their community.
We would like to know how you would like to get involved. Please tick the activities or groups you would be interested in participating in:
Want to know more?
7. Write your name and contact details below to receive updates and information about crime and safety in your area.
 
 
About You
8. Please state your age:
9. Please state the first part of your postcode:
 
10. Do you have a disability?
11. Which of the following does your disability affect?
 
 
 
 
 
   
 
12. To which of these groups do you consider you belong to?