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Hate crime in Llanelli
Hate crime in Llanelli
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1.
What is your age
(Required.)
Under 16
17-18
19-25
26-35
36-60
61+
Rather not say
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2.
What is your sexual identity
(Required.)
Lesbian
Gay
Bisexual
Queer
Questioning
Asexual
Heterosexual (straight)
Rather not say
Other (specify if you wish)
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3.
Please specify your gender, or write other if you do not wish to disclose it.
(Required.)
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4.
What is your ethnicity. Please write "rather not say" if you do not wish to disclose.
(Required.)
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5.
Did you report the incident to the police ?
(Required.)
6.
If yes, were you happy with the response of the police.
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7.
Can you tell us where the hate crime occurred. Please write "rather not say" if you do not wish to disclose a location.
(Required.)
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8.
Can you tell us about what happened? Please write "rather not say" if you do not wish to disclose.
(Required.)
9.
Is there any other information you would like to add. Please note this survey is purely to gather information and we cannot act on your behalf.