Case information

This information will assist in understanding the circumstances in which a restorative justice process may be most relevant, and where it may be inappropriate. If there is more than one abuser, please consider the primary person involved, or complete an additional sheet for a second abuser.

Gender:

Age: 18–24, 25–34, 35–44, 45–54, 55–64, 65–74, 75+

Please indicate the length of time since your incident, or the last incident if part of a series:

Did the incident, or one of the incidents if part of a series, occur while you were under the age of 18?

Prior to the incident, or during the incidents if part of a series, how well did you know the abuser?

• Unknown to me

• Colleague

• Close acquaintance or friend

• Close family member

• Ex-partner at the time of the incident

• Other, please state:

• Acquainted but close

• Professional relationship

• Distant family member

• Partner at the time of the incident

Since the incident, or last if part of a series of incidents, what level of contact have you had with the abuser?

• None

• Limited but known of in advance

• Regular, without my agreement

• Limited and unannounced

• Regular, with my agreement

• Close contact

• Other, please state:

Have you reported your incident to the police?

If so, what justice response did you receive?

• Case not investigated at my request

• Case not investigated but I wanted it to be

• Investigated but no further action taken

• Investigated and an out-of-court disposal given (e.g. caution)

• Case remains under investigation

• Charged and pleaded guilty at court

• Charged and convicted after pleading not guilty

• Charged and acquitted at court

• Case remains in the court process

• Other, please state:

If you have reported the incident or series of incidents to the police, how did it change the level of contact you have with the abuser?

If you have not reported to the police, or declined to support an investigation, is this related to how well you knew your abuser prior to the incident or series of incidents?

If you have not reported to the police, or declined to support an investigation, is this related to the level of contact you have/expect to have with your abuser?