About You

Please tick the responses which apply to you:

Current age:

Gender male female

Occupation

Marital Status single married separated divorced common law other

if other, please specify

Living arrangements alone with parents with partner shared single parent other

if other, please specify

Ethnic origin Black White Asian East-Asian Caribbean Mixed any other ethnic origin

if "any other ethnic origin", please specify

Please tick the responses which apply to you:

Have you ever been a victim of domestic violence? yes no

Did you live with your "violent partner"? yes no

If you answered yes to the question above, how long did you live with your ‘violent partner’? Please indicate an approximate length of time

Are you still a victim of domestic violence? yes no

Do you have any children? yes no

If you answered yes to the question above, have your children also been victims of violence?

yes no

Have your children witnessed your partner being violent towards you? yes no

If you have been a victim of domestic violence, then who was the "violent party"?

What type of violence did the "violent party" display towards you? You may tick more than one response.

If you have experienced domestic violence what behaviours did the "violent partner" engage in? You may tick more than one response.

Why do you think you were a victim of such violence? Please tick one of the following:

Have you ever reported the incident? yes no

If your answer to the above question was yes, how long after the first incident of violence did you report it? Indicate an approximate time in the space provided below:

Whom did you report the incident to? Please tick one of the following:

Why did you decide to report the violence that was taking place in your home? Please tick one of the following:

Did the violence continue after reporting it? yes no

If you did not report the incident to the police, why not? Please tick one of the following:

How long had you been in an intimate relationship with the 'violent partner'? Indicate an approximate length of time in the space provided below.

What was your prior relationship like before the violence started? Describe briefly in the space below:

When did the violence begin? Indicate an approximate length of time in the space provided below:

When did the violence stop? Indicate an approximate length of time in the space provided below:

II - STALKING

Stalking may be defined as: Unwanted, persistent harassment which causes distress- whether intentional or not- to the person experiencing it. The methods employed by stalkers can take many forms. They can often harass a victim using actions which are themselves unlawful, for example threatening, abusive or obscene phone calls; using abusive or threatening language; or committing acts of violence. Frequently, however, stalkers do not overtly threaten their victims, but use behaviour which appears routine and harmless. But even apparently harmless behaviour, such as following someone down the street or sending them flowers, can be intimidating if it is persistently inflicted on a victim against their will.

Have you ever been stalked by the 'violent partner'? yes no

If you answered yes to the above question, which behaviour frightened you more? domestic violence stalking both

When did this stalking behaviour occur? Please tick one response:

Over the time that you were stalked, what behaviours did the 'stalker' engage in? You may tick more than one response:

Have you reported the stalking incidents? yes no

Did the type of stalking behaviour prior and following the end of the relationship vary? yes no

If your answer to the question above was Yes, then can you describe in the space provided below how the stalking behaviours varied:

Did your perception of the stalking behaviour prior and following the end of the relationship vary? (e.g. fear for self and children, possible stalker motivation, or feelings towards the stalker). yes no

If your answer to the question above was Yes, then can you describe in the space provided below how your perception of the stalking behaviour varied:

When did the stalking behaviour stop? Indicate in the space below an approximate length of time:

Why do you think the stalking behaviour stopped? You can describe in the space provided below:

Do you think the presence of your child/children aggravated the stalking behaviour?

If your anwer to the question above was yes, why do you think your child/children aggravated the stalking behaviour? Please tick one response:

Why do you think your 'violent partner' stalked you? Please indicate in the space provided below:

Do you think all domestic abusers stalk their victims? yes no

If your answer to the question above was yes, why do you think domestic abusers engage in stalking behaviour? Please indicate in the space provided below:

Do you think all stalkers are violent people? yes no

If your answer to the question above was yes, why do you think stalkers engage in violent behaviour? Please indicate in the space provided below:

From your experience do you think that domestic violence would end in the victim being stalked by the same violent individual? yes no

If your answer to the question above was yes, why do you think that domestic violence would end in the victim being stalked by the violent partner? Please indicate in the space provided below:

What do you think affected the degree of stalking behaviour engaged in after the relationship had ended? (e.g. got a new relationship, tried to hide, he/she got a new relationship, he/she got limited access to our children). Please indicate in the space provided below:

Any other comments?