1. Community Crime Reporting

Please fill in the following details about the crime or crimes being commited in your community.

* 2. Where did this crime occur?

* 3. When did this crime occur?

Date:
/
/

* 4. At what time did this crime occur and how long did it last?

Start Time:
:
End time:
:

* 5. How many times has this type of crime been committed in your community?

* 12. Were there any other consequences?

* 13. How many offenders, victims and witnesses were there?

* 14. What do you think the motivation (cause) for the crime was?

* 16. What was the gender and age of the offender(s)?

* 17. Can you give any other important descriptions of the offender(s)?

* 18. Can you say what happened before, during and after the crime?

* 22. Would you like to say anything else about this crime?

Thank you for taking the time to complete this survey.

If you would like to give more information on general criminal activity in your community as well as police response to these crimes, please see the Community Crime section in the "Interpersonal Relationships Survey" on the VAPA website.

If you have any questions about this survey please contact l.hempenstall@ucc.ie

If you have been the victim of a crime or are in need of professional support, please see contact details of support services in your area on www.vapa.ie

T