Personal Safety Profile Question Title * 1. Have you, a family member or friend ever been a victim of violent crime in South Africa Yes No Question Title * 2. Where do you believe you or your family are most likely to fall victim to violent crime At Home On the way back from a shopping centre Due to vehicle breakdown and being stranded on the side of the road Hijacking Rogue Police extracting bribes You have shot someone in self defence and are facing arrest While driving alone after dark or long distance Question Title * 3. In your opinion, on a scale of 1 to 5 with 5 being the most effective, how confident are you that the following services will effectively manage any of the life threatening situations you may find yourself faced with ? 1 2 3 4 5 10111 SAPS 10111 SAPS 1 10111 SAPS 2 10111 SAPS 3 10111 SAPS 4 10111 SAPS 5 Neighbourhood Watch Neighbourhood Watch 1 Neighbourhood Watch 2 Neighbourhood Watch 3 Neighbourhood Watch 4 Neighbourhood Watch 5 Friends Friends 1 Friends 2 Friends 3 Friends 4 Friends 5 Alarm Guards Alarm Guards 1 Alarm Guards 2 Alarm Guards 3 Alarm Guards 4 Alarm Guards 5 Question Title * 4. Do you believe there is a greater than 50% chance that you or a family member will be a victim of violent crime in South Africa within the next 10 years ? Yes No Question Title * 5. Please enter personal details of the main ResQ1 subscriber (Please look out for an activation SMS to this number) Name and Surname Cell Number E mail address ID Number Done