2.0 When did the incident take place? |
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2.1 Which of the following best describes the number of physically violent individuals and the roles they played in the incident? |
| Individual acting alone |
| Individual acting as a primary aggressor with a non-aggressive partner present |
| Individual acting as a primary aggressor with an aggressive partner present |
| Two Individuals acting aggressively together |
| Individual acting as a primary aggressor within a relatively non-aggressive group |
| Individual acting as a primary aggressor within an aggressive group |
| Group of equally aggressive individuals |
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2.2 Which of the following best describes your relationship with the physically violent individual(s)? |
| Stranger(s) |
| Distant associate(s) e.g. someone you recognise but don't know |
| Close associate(s) e.g. people you talk to but who don't know your peronal details |
| Friend(s) e.g. people who know your personal details |
| Ex-Intimate(s) e.g. people you have previously shared a physical/sexual relationhip with |
| Current intimate(s) e.g. people you currently share a physical/sexual relationhip with |
| Family member(s) |
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2.3. Which of the following do you believe best describes your physically violent individual(s) motivations? |
| Sexual e.g. innapropriate advance etc |
| Financial e.g. asking for money etc |
| Fear e.g. afraid of you or the situation and so became aggressive |
| Anger e.g. perceived an injustice or wrong causing them to act |
| Ego e.g. needed to assert themselves in front of peers or to satisfy their own ego etc |
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2.4. Which of the following best describes the gender(s) of the physically violent individual(s)? |
| Individual male or all male group |
| Individual female or all female group |
| Mixed group (even mix of male/female aggressor(s)) |
| Mixed group (predominantly male aggressor(s)) |
| Mixed group (predominantly female aggressor(s)) |
| Unknown |
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2.5. Which of the following do you belive best describes the age or average age of the physically violent individual(s)? |
| Under 14 |
| 15 - 19 Years of age |
| 20 - 29 Years of age |
| 30 - 39 Years of age |
| 40 - 49 Years of age |
| 50 Plus years of age |
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2.6. At what time of day did the physically violent incident take place? |
| 6pm - 9pm |
| 9pm - 12am |
| 12am - 3am |
| 3am - 6am |
| 6am - 9am |
| 9am - 12pm |
| 12pm - 3pm |
| 3pm - 6pm |
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2.7. Which of the following best describes the location where the physically violent incident took place? |
| Your home |
| Someone else's home or private place |
| Place of entertainment e.g. bar, pub, club etc |
| Residential street/Area |
| Commercial street/Area e.g. town/city centre, shopping area/mall etc |
| Open/Public Space e.g. park, woodland, sports field etc |
| Public Transport |
| Work |
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2.8. Which of the following do you believe best describes the length of time the physically violent incident lasted? |
| Under 30 seconds |
| 30 seconds - 2 minutes |
| 2 - 5 minutes |
| 5 - 10 minutes |
| 10 minutes - 1 hour |
| Over 1 hour |
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2.9. Which of the following best describes how the fight/physical assault started? |
| Push & upper body strike e.g. punch, elbow, headbutt etc |
| Grab & upper body strike e.g. punch, elbow, headbutt etc |
| Upper body strike e.g. punch, elbow, headbutt etc |
| Push & lower body strike e.g. kick, knee etc |
| Grab & lower body strike e.g. kick, knee etc |
| Lower body strike e.g. kick, knee etc |
| Some form of grappling attack e.g. headlock, choke, strangle, bearhug etc |
| Some form of weapon attack e.g. knife slash, knife stab, baseball bat swing etc |
| Some form of weapon threat e.g. knife placed against throat, gun placed against head etc |
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2.10. From what direction did the initial attack come from? |
| Physical attack from the front |
| Physical attack from the side |
| Physical attack from the rear |
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2.11. Which of the following best describes what (if any) weapons were used in the fight/assault? |
| No weapon |
| Bladed weapon e.g. knife, razor etc |
| Blunt weapon e.g. baseball bat, cosh etc |
| Short Barrel Firearm e.g pistol, revolver etc |
| Long Barrel Firearm e.g. shotgun etc |
| Improvised Weapon e.g broken bottle, chair etc |
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2.12. Which of the following best describes the time (if any) spent on the ground? |
| No time spent on the ground |
| Time Was Spent On The Ground Almost As Soon As The Fight Began |
| Time Was Spent On The Ground At Some Point(s) During The Fight |
| Time Was Spent On The Ground Only At The End Of The Fight |
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2.13. Which of the following best describes the way the aggressor/attacker approached you? |
| Ambush e.g. approached you with a pretence such as asking for change/the time/directions etc |
| Immediately displayed verbal aggression e.g. approached you making threats, challenges etc |
| Immediate Physical Violence e.g. made a physical assault with no verbal warning/display |
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2.14. Which of the following best describes the way the fight/assault ended? |
| Attacker/Aggressor Was Dominant Party |
| Victim/Target Was Dominant Party |
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2.15. Which of the following best describes the physical injuries that resulted from the fight/assault? |
| Minor e.g. not requiring medical attention |
| Major e.g. required medical attention |
| Extreme e.g. requiring (or will require) medical attention 3 months after the incident |
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2.16. Which of the following best describes the physical injuries that resulted from the fight/assault? |
| Minor Effect e.g. has hardly changed the way you view life or the way you lead it |
| Major Effect e.g. has altered certain aspects of your life – places you go etc |
| Extreme Effect e.g. has radically changed your outlook on life, society etc |
