Children affected by domestic abuse against men Survey

1. A lot of effort has gone into listening to the stories and feelings of children affected by domestic abuse where their mothers were victims. This survey has been compiled by Abused Men In Scotland (Registered Scottish Charity SCO41467) to help us consider how to find out about the experience of children affected by the domestic abuse of their dads or male carers.

Are you or have you been on the receiving end of domestic abuse from a current or former partner?

	From a female partner?	From a female ex-partner?	From a male partner?	From a male ex-partner?
Yes, currently	*A lot of effort has gone into listening to the stories and feelings of children affected by domestic abuse where their mothers were victims. This survey has been compiled by Abused Men In Scotland (Registered Scottish Charity SCO41467) to help us consider how to find out about the experience of children affected by the domestic abuse of their dads or male carers. Are you or have you been on the receiving end of domestic abuse from a current or former partner? Yes, currently From a female partner?	Yes, currently From a female ex-partner?	Yes, currently From a male partner?	Yes, currently From a male ex-partner?
Yes, in the past	Yes, in the past From a female partner?	Yes, in the past From a female ex-partner?	Yes, in the past From a male partner?	Yes, in the past From a male ex-partner?
No	No From a female partner?	No From a female ex-partner?	No From a male partner?	No From a male ex-partner?

Other (please specify)

2. What is/was the nature/seriousness of the abuse?

	Mild	Moderate	Severe
Physical	*What is/was the nature/seriousness of the abuse? Physical Mild	Physical Moderate	Physical Severe
Emotional/Psychological	Emotional/Psychological Mild	Emotional/Psychological Moderate	Emotional/Psychological Severe
Sexual	Sexual Mild	Sexual Moderate	Sexual Severe
Threatening	Threatening Mild	Threatening Moderate	Threatening Severe
Financial	Financial Mild	Financial Moderate	Financial Severe
Damage to property	Damage to property Mild	Damage to property Moderate	Damage to property Severe
Denial of access to children	Denial of access to children Mild	Denial of access to children Moderate	Denial of access to children Severe
False accusations made against you	False accusations made against you Mild	False accusations made against you Moderate	False accusations made against you Severe

Other (please specify)

3. Please indicate the age range(s) of any children you have and their age when abuse was occurring.

	Age now	Age at time when abuse was occurring
0-3 years	*Please indicate the age range(s) of any children you have and their age when abuse was occurring. 0-3 years Age now	0-3 years Age at time when abuse was occurring
4-6 years	4-6 years Age now	4-6 years Age at time when abuse was occurring
7-10 years	7-10 years Age now	7-10 years Age at time when abuse was occurring
11-14 years	11-14 years Age now	11-14 years Age at time when abuse was occurring
15-18 years	15-18 years Age now	15-18 years Age at time when abuse was occurring

Comments

4. What was the residential situation at the time of the abuse, and what is it now?

	When domestic abuse taking place	Now
You and partner living together with children	*What was the residential situation at the time of the abuse, and what is it now? You and partner living together with children When domestic abuse taking place	You and partner living together with children Now
You and (ex)partner living separately, with shared parenting	You and (ex)partner living separately, with shared parenting When domestic abuse taking place	You and (ex)partner living separately, with shared parenting Now
Children staying mainly with you	Children staying mainly with you When domestic abuse taking place	Children staying mainly with you Now
Children staying mainly with partner	Children staying mainly with partner When domestic abuse taking place	Children staying mainly with partner Now
Your access to children denied/restricted	Your access to children denied/restricted When domestic abuse taking place	Your access to children denied/restricted Now
Ex-partner's access to children denied/restricted	Ex-partner's access to children denied/restricted When domestic abuse taking place	Ex-partner's access to children denied/restricted Now
Court contact order in place - honoured	Court contact order in place - honoured When domestic abuse taking place	Court contact order in place - honoured Now
Court contact order in place - not honoured	Court contact order in place - not honoured When domestic abuse taking place	Court contact order in place - not honoured Now

Any further information.

5. Are any of your children aware of or have they witnessed incidents of abuse against you by your partner or ex partner?

Are any of your children aware of or have they witnessed incidents of abuse against you by your partner or ex partner? Aware and have witnessed domestic abuse against you

Aware it happens but have not witnessed it

Not aware of it to your knowledge

Any further information.

6. What effect has the domestic abuse against you had on your child(ren), and on you?

What effect has the domestic abuse against you had on your child(ren), and on you?

7. Have you or your children ever sought help with respect to the domestic abuse?

	You	Your child(ren)
Yes	*Have you or your children ever sought help with respect to the domestic abuse? Yes You	Yes Your child(ren)
No	No You	No Your child(ren)

Please give details.

8. Have you or your children been offered or provided with any support with regard to the domestic abuse experienced?

	You	Your child(ren)
Yes	*Have you or your children been offered or provided with any support with regard to the domestic abuse experienced? Yes You	Yes Your child(ren)
No	No You	No Your child(ren)

Please give details.

9. Which of these people (if any) would you or your child(ren) be willing to speak to about the abuse?

	You	Your child(ren)
Relatives	*Which of these people (if any) would you or your child(ren) be willing to speak to about the abuse? Relatives You	Relatives Your child(ren)
Police	Police You	Police Your child(ren)
Social workers	Social workers You	Social workers Your child(ren)
Teachers	Teachers You	Teachers Your child(ren)
GPs	GPs You	GPs Your child(ren)
Confidential helpline	Confidential helpline You	Confidential helpline Your child(ren)

Other (please specify)

10. Do you think your children might be willing/able to share their thoughts on domestic abuse? Even if you think this may not be possible in your case, please give your views on how you feel we can best find out about the experience of children in this situation.
If you would be willing to be involved further in the discussion of this issue, please give your email address in the box below.

Do you think your children might be willing/able to share their thoughts on domestic abuse? Even if you think this may not be possible in your case, please give your views on how you feel we can best find out about the experience of children in this situation. If you would be willing to be involved further in the discussion of this issue, please give your email address in the box below. Yes, I think my children might be able to share their experiences and thoughts about domestic abuse.

No, I do not think my children would be able to do this.

I would like to be involved in further discussion about this and have given my email address below.

Please add any further thoughts. Many thanks for completing this survey.

Children affected by domestic abuse against menExit this survey

1.

2. What is/was the nature/seriousness of the abuse?

3. Please indicate the age range(s) of any children you have and their age when abuse was occurring.

4. What was the residential situation at the time of the abuse, and what is it now?

5. Are any of your children aware of or have they witnessed incidents of abuse against you by your partner or ex partner?

6. What effect has the domestic abuse against you had on your child(ren), and on you?

7. Have you or your children ever sought help with respect to the domestic abuse?

8. Have you or your children been offered or provided with any support with regard to the domestic abuse experienced?

9. Which of these people (if any) would you or your child(ren) be willing to speak to about the abuse?

Children affected by domestic abuse against men
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