* 1. Have you been assaulted by a tenant, service user, or member of the public while doing your job in housing within the last 12 months?

* 2. Have you been verbally assaulted (threatening personal insults/swearing) while doing your job in housing within the last 12 months?

* 3. Have you been punched, kicked or pushed while doing your job in housing within the last 12 months?

* 4. Have you had somebody use a weapon against you while doing your job in housing within the last 12 months?

* 5. Have you been sexually assaulted while doing your job in housing within the last 12 months?

* 6. Have you been threatened in writing while doing your job in housing within the last 12 months?

* 7. Have you been taken hostage (for example, locked inside somebody's home) while doing your job in housing within the last 12 months?

* 8. Did you report all of the incidents above to your employer?

* 9. If you did not report all incidents, why not?

* 10. When you did report incidents, what happened next? Were you happy with the way your employer handled the situation?

* 11. Are you a lone worker?

* 12. Have there been cuts to staff numbers within your organisation within the last 12 months? If so, are you more likely to work on your own as a result?

* 13. If you are more likely to work on your own, do you feel that this has put you at more risk of being the victim of assault?

* 14. Do you feel that the introduction of the government's welfare reforms have increased the risk of you and your colleagues being assaulted while doing your jobs in housing?

* 15. Do you feel more or less safe doing your job in housing than you did 12 months ago?

* 16. Is your employer doing enough to protect you and your colleagues from assault?

* 17. Which of the following best describes your current role?

* 18. What is your primary job function?

* 19. Where do you work?

* 20. Thank you very much for taking the time to complete this survey. Inside Housing would like to be able to contact you in relation to your answers. If you feel comfortable doing so, please provide your name and contact details in the box below. Alternatively, please contact Jess McCabe at jess.mccabe@insidehousing.co.uk or 0207 772 8343.

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