General

How old are you?

Under 16

16 to 24

25 - 40

40 - 65

Over 65

What gender are you?

Male

Female

What is you ethnic origin? Asian or Asian British (Bangladeshi) Asian or Asian British (Indian) Asian or Asian British (Pakistani) Asian (other) Black or Black British (African) Black or Black British (Caribbean) Black (other) Mixed White and Black African Mixed White and Black Caribbean Black (other) Mixed White and Black African Mixed White and Black Caribbean Mixed White and Asian Mixed Other White British White Irish White Other Other Ethnic Background

Postcode? Barnhill Botwell Brunel Cavendish Charville Eastcote and East Ruislip Harefield Heathrow Villages Hillingdon East Ickenham Manor Northwood Northwood Hills Pinkwell South Ruislip Townfield Uxbridge North Uxbridge South West Drayton West Ruislip Yeading Yiewsley Outside Hillingdon Unknown

Fear of crime

Do any of the following concern you in Hillingdon?
Crime in General
Drug misuse
Alcohol related crime

Experience of Crime

Have you been a victim or suffered from any of the following crimes in Hillingdon in the last year?

Anti-social behaviour and disorder
Burglary
Business/retail crime
Hate crime (Domestic violence, racial and homophobic crime)
Theft of or from your vehicle
Street robbery
Assault

If you answered yes above did you report the crime to the police or contact any other organisation?

Police
Council
Third party reporting centre
British transport police
Victim support
Your GP or other Health professional

Substance misuse

Have you ever been involved in helping any one or anyones family with drug problems? This could be by providing advice, looking after children whilst they attend appointments or providing information to police, housing or another organisation?

Yes No

If yes, did you or your family member seek help/support from local services?

HDAS
HAGAM
SORTED
Your GP
Other Health - Please specify

Have you or any member of your family ever suffered the negative effects of alcohol or illicit drug misuse?

Yes No

Community involvement

Do you think you views are listened too? Yes No

Do you feel that you can influence the decisions that the local partnership makes about crime, disorder and drug misuse in Hillingdon? Yes No

Thank you for taking the time to give us your views. Click the submit button below to send your completed questionnaire to Hillingdon CSDSP.