Consultation with people who have caused harm to others

Learning from you

You are completing this feedback because at some point you have been involved in an abusive relationship and have caused harm to someone else.

Reliving this can be traumatic and there are also some questions in here about your past experiences that you might find difficult to answer. If you do not feel comfortable answering certain questions please leave them blank. Do not feel that you have to complete every answer, any information at all is invaluable in helping to improve services and prevent further domestic abuse and so if you need to leave some questions out to protect yourself from emotional distress then please do so.

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* 1. Please indicate whether you think you were the abusive person or whether you think there was abuse from both people in the relationship?

I was the only person who was causing harm

We were both abusive

Additional comments

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* 2. Were you abusive towards a partner/ex-partner or family member?

Partner/ex partner

Family member

Partner and family member(s)

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* 3. Were they male or female?

Male

Female

Non binary

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* 4. Did you identify yourself as a person causing harm prior to any intervention?

Yes

Additional comments

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* 5. Did you receive support to address your behaviour and attitudes?

Yes

If Yes please state what support you received/what programme you attended

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* 6. What type of harm did you cause?

Physical harm

Emotional harm

Sexual harm

Other (please specify)

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* 7. How do you feel about what you did?

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* 8. What do you think about the words abuser/perpetrator to describe someone who has caused harm in a relationship?

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* 9. What is your opinion of the support you received?

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* 10. How could the support you received be improved?

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* 11. Were you issued a warning notice about the use of SmartWater?

Yes

If Yes, how did this affect your behaviour?

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* 12. What do you think could be done to prevent people being abusive?

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* 13. Did you have children at the time of the abuse (your own children and step-children)?

Yes

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* 14. If you answered Yes to Q13 can you explain what impact your behaviour had on the children?

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* 15. Did you experience any type of trauma or abuse as a child?
As mentioned above, this can be difficult to think about and answer. It is really important that we understand the impact of trauma on people but if you do not feel comfortable answering please leave this question blank.

I didn't experience any trauma or abuse as a child

I grew up around domestic abuse

I witnessed domestic abuse in my house

I suffered neglect

I suffered physical abuse

I suffered emotional abuse

I suffered sexual abuse

I suffered from a family bereavement that affected me

The was substance misuse or alcohol abuse in the household

There were mental health issues in the household

Other (please specify)

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* 16. If you answered yes to the last question, what impact do you think this had on you?

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* 17. What support do you think could have helped at the time?

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* 18. Have you experienced trauma as an adult that has had a negative impact on you?

Yes

If you answered Yes, how has this affected you?

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* 19. If you could give someone who is being abusive some advice to change their behaviour what would it be?

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* 20. What is your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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* 21. What is your gender

Male

Female

Non binary

Prefer not to say

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* 22. Do you consider yourself to be transgender?

Yes

Prefer not to say

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* 23. Which ward to you live in?

Adwick and Carcroft

Armthorpe

Balby South

Bentley

Bessacarr

Conisbrough

Edenthorpe and Kirk Sandall

Edlington and Warmsworth

Finningley

Hatfield

Hexthorpe and Balby North

Mexborough

Norton and Askern

Roman Ridge

Rossington and Bawtry

Sprotbrough

Stainforth and Barnby Dun

Thorne and Moorends

Tickhill and Wadworth

Town

Wheatley Hills and Intake

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* 24. Which race/ethnicity best describes you? (Please choose only one.)

White/White British

Black/Black British

Asian/Asian British

Mixed race

Rather not say

Another race or ethnicity (please specify)

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* 25. Do you identify with any of the following religions? (Please select all that apply.)

Protestantism

Catholicism

Christianity

Judaism

Islam

Buddhism

Hinduism

Native American

Inter/Non-denominational

No religion

Other (please specify)

Consultation with people who have caused harm to others

Learning from you

Question Title

* 1. Please indicate whether you think you were the abusive person or whether you think there was abuse from both people in the relationship?

Question Title

* 2. Were you abusive towards a partner/ex-partner or family member?

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* 3. Were they male or female?

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* 4. Did you identify yourself as a person causing harm prior to any intervention?

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* 5. Did you receive support to address your behaviour and attitudes?

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* 6. What type of harm did you cause?

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* 7. How do you feel about what you did?

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* 8. What do you think about the words abuser/perpetrator to describe someone who has caused harm in a relationship?

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* 9. What is your opinion of the support you received?

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* 10. How could the support you received be improved?

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* 11. Were you issued a warning notice about the use of SmartWater?

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* 12. What do you think could be done to prevent people being abusive?

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* 13. Did you have children at the time of the abuse (your own children and step-children)?

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* 14. If you answered Yes to Q13 can you explain what impact your behaviour had on the children?

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* 15. Did you experience any type of trauma or abuse as a child? As mentioned above, this can be difficult to think about and answer. It is really important that we understand the impact of trauma on people but if you do not feel comfortable answering please leave this question blank.

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* 16. If you answered yes to the last question, what impact do you think this had on you?

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* 17. What support do you think could have helped at the time?

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* 18. Have you experienced trauma as an adult that has had a negative impact on you?

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* 19. If you could give someone who is being abusive some advice to change their behaviour what would it be?

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* 20. What is your age?

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* 21. What is your gender

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* 22. Do you consider yourself to be transgender?

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* 23. Which ward to you live in?

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* 24. Which race/ethnicity best describes you? (Please choose only one.)

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* 25. Do you identify with any of the following religions? (Please select all that apply.)

* 15. Did you experience any type of trauma or abuse as a child?
As mentioned above, this can be difficult to think about and answer. It is really important that we understand the impact of trauma on people but if you do not feel comfortable answering please leave this question blank.