Case report

Part 1 of the Questionnaire

0. Who was the victim of the violent incident?Only one answer

1. Me

2. My friend/partner

3. I was a witness of a violent incident that was committed against someone known to me.

4. I was a witness of a violent incident that was committed against someone I didn’t know.

5. I heard about the violent incident from a third party.

6. Other, namely:

0a. victim of the violent incident - other person

1. How would you categorise the violent incident?More than one answer is possible

1. Molestation or deliberate annoyance

2. Verbal insults

3. Verbal threats

4. Extortion (e.g. violent demands for money)

5. Theft

6. Verbal threats with physical violence

7. Light injuries sustained

8. Serious injuries sustained

9. Other, namely:

1a. other category

1a. Please give a short description of the incident here:

The date, time, and for how long the incident lasted,
The order of events,
In what way did the violence against the person happen, (types of violence? types of Injury?),
Please describe the place where the incident took place,
Please describe the person(s) who did the violent act(s),
- If you are not the victim of the violent incident then please describe the victim (e.g. age, where they come from etc.)

2. How long did the incident last (from what time to what time)? Date and Time:

3. Were weapons used (if so which)?

yes

3a. If “Yes” which weapons?

4. Were there injuries?

1. No

2. Yes

4a. Who was injured?

1. Me

2. Another person

4b. If “Yes”, what kinds of injuries?

5. Was anyone else a victim of the incident or in any way affected by it E.g. friends or acquaintances?

1. No

2. Yes

5a. If “Yes” how many?

6. For how long afterwards were you affected by the incident?Only one answer

1. Not at all

2. For a short time that day

3. Some days

4. Weeks

5. A very long time

6. It still affects me

7. Other, namely:

6. Other, namely

7. In which city and neighbourhood/borough did the incident take place? 1. Berlin: Borough: 2. Other Place: City/County/State/Country:

1. Berlin

2. Other place

7a. If “Berlin” what part?Berlin city district (Prenzlauer Berg, Schöneberg etc.)

7b. If not “Berlin” wich place?City, City-District, State/County, Country

8. What was the location of the incident?E.g. Street name, post/zip-code, in my/someone’s home, in the Metro/Tube/Subway etc.

9. Was the incident in your view anti gay/lesbian/trans*?Only one answer

1. Yes

2. No

3. I don’t know because:

9. ... i don’t know because:

9a. If “Yes” how could you tell that the incident was anti gay/lesbian/trans*? More than one answer is possible

1. The wrongdoer(s) made homophobic statements

2. The wrongdoer(s) knew that I am gay/lesbian/trans*

3. Because of my/the victim’s visibility as a gay/lesbian/trans* e.g. publicly walking hand in hand, or kissing.

4. Because of the clothes I/the victim was wearing e.g. typical gay/lesbian “scene” fashion

5. The crime happened at or near a known gay/lesbian/trans meeting-point/club/bar/party or event.

6. The incident happened at a time when a public gay/lesbian/trans* event or festival took place e.g. Gay Pride

7. The wrongdoer showed sexual interest in me

8. You can give here a description of the particular attributes of the wrongdoer:

9.a description of the particular attributes of the wrongdoer:

10. How many wrongdoers were there (estimate if not known exactly)?(Number)

11. How old were the wrongdoers (estimate if not known exactly)?(Age)

12. Sex of the wrongdoers?(Sexes)

13. Were the wrongdoers known to you?

1. No, strangers

2. Yes, known to me, in particular: (e.g.. Neighbours, fellow students, work colleagues etc.)

13. Yes, known to me, in particular:

13a. Description of the wrongdoer:

14. Have you been to the police about the incident and for example filed charges?Only one answer

1. Yes

2. No

14a. Other, namely:

14a. If “No”, which answer best fits your case:Only one answer

1. Because the police wouldn’t be able to find the wrongdoer

2. I don’t want the police to have my personal data

3. The police wouldn’t be able to deal with the case.

4. It would have been too stressful for me.

5. Other, namely:

15. After a violent incident many victims feel partly responsible that the incident happened. Is that the case with you?

1. No

2. Yes

15a. If “Yes”, what reasons do you have for these feelings?

16. Afterwards, did you have the possibility to speak at length about the incident with someone you could trust?Only one answer

1. No

2. Yes

16a. If “Yes”, who was it?More than one answer is possible

1. Family member

2. Friend

3. Member of a gay group or association or AIDS-Help service

4. Member of a non-gay group or association

5. Medical staff

6. Psychologist or social worker

7. Other, namely:

16a. other namely

17. If Yes would you say that their support was helpful?(0= no help; 4=very helpful)

18. Do you think that the incident led to a change in your behaviour?nur 1 Antwort

1. No

2. Yes

18a. If no, because...?

18b. If “Yes”, which of the following best fits your case?More than one answer is possible

1. I am now more alert and cautious

2. I do not present myself as gay so publicly

3. I avoid behaving in a way that identifies me publicly as gay/bisexual/trans*

4. I am now more careful when flirting or making new acquaintances

5. I am better prepared for danger

6. I am looking to move home/ I have moved home

7. I avoided a particular place for a long time

8. I continue to avoid particular places

9. Other, namely:

18b. yes - other, namely

19. Before the incident had you already been discriminated against, insulted, deliberately annoyed by someone, threatened, injured or robbed? Only one answer

1. No, not until now

2. Yes, already once

3. Yes, more than once

Thank you for the information that you entered.

We would also like you to fill in Part 2 In case you have doubts about answering these questions you can skip them.

Part 2. – Personal Questions

20. How would you describe yourself?Only one answer

Only one answer

I am gay

I am homosexual

I am bisexual

I am heterosexual

I am trans-sexual

I disapprove of self-definitions

I am other, namely:

20a. Other description:

21. How old are you?(Age in years)

22. Are you in a long-term relationship?Only one answer

1. No relationship

2. In a long-term relationship with a man

3. In a long-term relationship with a woman

4. In long-term relationships with a man and a woman

5. I am separated from a man

6. I am separated from a woman

7. I am a widower/widow

22a. Other relationship:

23. What educational qualifications do you have?Only one answer

1. None

2. School certificates at age approx 16

3. Technical school certificates at age approx 18

4. High school certificates at age approx 18 e.g. A levels, IB, Abitur

5. University degree/diploma e.g. BSc

6. Post graduate degree e.g. MBA, MSc., PhD

25. What is the population of your town?

1. Less than 10,000

2. 10,000 – 50,000

3. 50,000 – 100,000

4. 100,000 – 500,000

5. 500,000 - 1 Million

6. Over 1 Million

26. Where is your main residence?Only one answer

1. In Berlin

2. In the state of Brandenburg

3. Other place:

26a. If “Berlin” what part?(Local area/City/County/Country)

26b. If not “Berlin” wich place?(Bezirk/Stadt/Bundesland/Nation)

27. What is your passport nationality?

28. Are you an active member of one of the following groups?More than one answer is possible

1. None of the following

2. Gay organisation/AIDS-Help service

3. Local citizens group/political group

4. Trade-Union

5. National political party

6. Religious group

7. Other, namely:

28a. Other groups:

29. May we contact you for further questions?

1. No

2. Yes

My First Name:

My Telephone number:

My Email address:

If you would like a personal talk with us?
Please call us on: 030 / 216 33 36 daily between 17:00-19:00, there is an answering machine outside these hours.

30. Where did you find out about MANEO / Violent Incident Telephone?A brief description, e.g. gay magazine, someone told me, ..

31. Final comments?Open answer, use only a few key words

Meldung eines Gewaltvorfalls

Erläuterung zu den Fragen:

Thank you for the information that you entered.

If you would like a personal talk with us?
Please call us on: 030 / 216 33 36 daily between 17:00-19:00, there is an answering machine outside these hours.

MANEO-Fall online melden

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Message

Contact

Quotes

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Meldung eines Gewaltvorfalls

Erläuterung zu den Fragen:

Thank you for the information that you entered.

If you would like a personal talk with us? Please call us on: 030 / 216 33 36 daily between 17:00-19:00, there is an answering machine outside these hours.

MANEO-Fall online melden

MANEO-survey

Message

Contact

Quotes

Partners

If you would like a personal talk with us?
Please call us on: 030 / 216 33 36 daily between 17:00-19:00, there is an answering machine outside these hours.