Verbal and physical abuse towards blind and partially sighted people questionnaire

Question 3 Where do you live? (required)
-EastLondonMidlandsNorth EastNorth WestNorthern IrelandScotlandSouth EastSouth WestWalesYorkshire

Question 4 Do you have a visual impairment? (Please note a visual impairment is when you suffer from a loss of vision that cannot be corrected by conventional means i.e. glasses or contact lenses) (required)
-Yes - I am partially sightedYes - I have no vision at allNo

Question 5
Have you ever been a victim of verbal and/or physical abuse? (Please tick all that apply) (required)
Yes - verbal abuse only (go to question 6)
Yes - physical abuse only (go to question 7)
Yes - physical and verbal (go to question 6)
No - (go to question 13)

Question 6 How long ago were you verbally abused?
-I was verbally abused todayIn the last weekIn the last monthIn the last 6 monthsIn the last yearMore than a year ago

Question 7 How often do you experience verbal abuse?
-The whole timeOccasionallyRarely - it was a one off

Question 8 How long ago were you physically abused?
-I was physically abused todayIn the last weekIn the last monthIn the last 6 monthsIn the last yearMore than a year ago

Question 9 How often do you experience physical abuse?
-The whole timeOccasionallyRarely - It was a one off

Question 10 Do you know the person who physically/verbally abused you last?
-Yes - it was a neighbourYes - it was a family memberYes - it was my partnerYes - it was a friendYes - it was my employerYes - it was a work colleagueYes - it was a local shopkeeperYes - other (please specify)No - it was a total stranger

Other (please specify)

Question 11 Who was the first person/group of people you turned to and told about your experiences of physical/verbal abuse?
-The PoliceA support group/helplineFamilyFriend/sWork colleagueEmployerLawyerOther (please specify in text box below)I didn't turn to or tell anyone

Other (please specify)

Question 12
From the following list, what were the main reasons why didn't you tell anyone? (Tick all that apply)
I didn't know where or who to turn to
I didn't think anyone would take me seriously
I didn't think my ordeal was bad enough
I have told people in the past, but they were unsupportive
I was too scared to tell anyone
Other (please specify in the text box below)

Other (please specify)

Question 13 Do you think you will suffer physical/verbal abuse in the future? (required)
-Yes - definitelyYes - potentially No

Question 15 How far do you agree with the following statement? 'Blind and partially sighted people are more likely to be victims of verbal and/or physical abuse'. (required)
-Strongly agreeSlightly agreeSlightly disagreeStrongly disagree

Question 16 What was your primary reason for visiting our website? (required)
-To take part in this surveyTo find out more about Action for Blind People as a charityTo find out about Action's services for myselfTo find out about Action's services for a friend of family memberTo donate to Action for Blind PeopleTo take part in a fundraising eventTo apply for a job or volunteer workTo contact Action for Blind PeopleTo Download factsheets and publicationsTo find out news about Action and Visual Impairment

Question 17 How did you find out about our website? (required)
-A Brochure or letterA friend or relativeAnother Charity or OrganisationAn e-newsletterA Search engine (eg. Google)A link on another websiteOur telephone helplineA Fundraiser or a fundrasing event