Case Report For Women

Comment about the questions:

The different types of question require the following types of answer:

a) »only one answer« Please cross only one option!
b) »More than one answer is possible« You may cross more than one option!
c) »(0) – (1) – (2) – (3) – (4)« [Scale value:(0)=zero; (4)=very clear] please cross one scale value!
d) »Open answer – using only a few key words« Please write a short description here.

1. Part of the questionnaire

0. Who was the victim of the violent incident?

0. No 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?

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.)

How long did the incident last (from what time to what time)?

Date:

Time:

3. Were weapons used (if so which)

0. No answer

1. No

2. Yes

4. Were there injuries

0. No answer

1. No

2. Yes

4a. If “yes”, who was hurt?

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?

0. No answer

1. No

2. Yes

5a. If “Yes” how many?

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

6a. Other

7. In which city and neighbourhood/borough did the incident take place?

0. No answer

1. Berlin

2. Other place

7a. If in Berlin, in which Berlin district?

7b. If not “Berlin” which place?

(City/County/State/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*?

0. No answer

1. Yes

2. No

3. I don't know because:

9a. If so, how could you recognize the fact that the act was anti-gay?

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:

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

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

12. Sex of the wrongdoers?

(Sexes)

13. Were the wrongdoers known to you?

0. No answer

1. No, strangers

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

13a. Yes, known to me, in particular:

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

0. No answer

1. Yes

2. No

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

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?

0. No answer

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?

0. No answer

1. No

2. Yes

16a. If “Yes”, who was it?

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?

0. No answer

1. No

2. Yes

18a. If no, because...?

18b. If “Yes”, which of the following best fits your case?

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:

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

0. No 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?

21. How old are you?

(Age in years)

22. Are you in a long-term relationship?

23. What educational qualifications do you have?

0. No 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

24. Current occupation?

25. What is the population of your town?

26. Where is your main residence?

0. No answer

1. In Berlin

2. In the state of Brandenburg

3. Other place:

26a. If “Berlin” what part?

26b. If not “Berlin” wich place?

(Local area/City/County/Country)

27. What is your passport nationality?

27a. Another nationality

(e.g. also dual citizenship, then "German and ...")

28. Are you an active member of one of the following groups?

29. May we contact you for further questions? * (required)

1. No

2. Yes

My first name

My phone number

My mail address

I have read the Privacy Policy note

My contact data may be used to answer questions and provide feedback

Privacy Police of MANEO

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

Please prove you are human by selecting the car.