Anonymous Form

Section 0

Are you reporting on behalf of yourself or somebody else?

Myself

A friend or colleague with their consent

I am an anonymous witness

Other

Type other answer

What is your connection with the university?

Staff

Student

Visitor

Other

Type other answer

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Section 1

Which of the following best describes the situation your report relates to?

Click on the question marks (?) for more information.

Sexual Harassment ?

Sexual harassment is when someone behaves in a way which makes you feel distressed, intimidated or offended and the behaviour is of a sexual nature. Sexual harassment can include: sexual comments or jokes, physical behaviour, including unwelcome sexual advances and touching.

Sexual Violence ?

Sexual violence is defined as a sexual act committed against someone without that person's freely given consent, this includes completed or attempted acts and those that relate to alcohol/drug- facilitated acts.

Relationship Abuse ?

Any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members regardless of gender or sexuality. The abuse can encompass, but is not limited to psychological, physical, sexual, financial, emotional. - The Scottish Government

Bullying ?

Offensive, intimidating, malicious or insulting behaviour involving the misuse of power that can make a person feel vulnerable, upset, humiliated, undermined or threatened.

Discrimination ?

Unlawful discrimination takes place when an individual or a group of people is treated less favourably than others based on one of the nine protected characteristics in the Equality Act (2010). These include, age, disability, gender, gender reassignment, marriage and civil partnership (employees only), pregnancy and maternity, race, religion or belief (including lack of belief), and sexual orientation.

Harassment ?

Unwanted physical, verbal or non-verbal conduct which may intentionally or unintentionally violate a person's dignity or create an intimidating, hostile, degrading, humiliating or offensive environment which interferes with an individual's learning, working or social environment.

Hate Crime/Incident ?

Any abusive behaviour or criminal offence which is perceived by the victim, to be motivated by hostility or prejudice, based on a person's disability or perceived disability; race or perceived race; or religion or perceived religion; or sexual orientation or perceived sexual orientation or transgender identity or perceived transgender identity.

Victimisation ?

Refers to bad treatment directed towards someone who has made or is believed to have made or supported a complaint under the Equality Act. It includes situations where a complaint hasn't yet been made but someone is victimised because it's suspected they might make one.

Other

Type other answer

What Date did the Incident Occur?

incident_date

What time of day did the Incident Occur?

Morning

Afternoon

Evening

Night

Specific time

Type other answer

Prefer not to say

Where did the Incident Occur?

On Campus

Off Campus

Online

Further Location Information

Type other answer

Perfer not to say

Are you able to provide any more details of the incident(s)?

It may be useful for your adviser to have some contextual information in advance. For example: Are you reporting one or multiple incidents? When did the incident(s) occur, i.e. recently or more than a year before? Where did the incident occur, e.g. online, on campus/off campus, etc? Is the perpetrator known to you? This kind of detail also helps us as an institution to gain a better understanding of the difficulties our staff/students may be facing and informs efforts to create a safer and more supportive environment for all.

Type answer below

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Section 2

Do you believe the incident/action was motivated by any of the following?

For reports of sexual violence/harrassment or relationship abuse, select "Not Applicable" and go straight to the next question. If you believe there was more than one motivation, please choose what you believe to be the main motivation and detail other elements in the text box on the next page.

Not Applicable

Age

Disability

Gender Reassignment / Identity

Marriage and/or Civil Partnership

Pregnancy and/or Maternity

Race

Religion or Belief

Sex

Sexual Orientation

Other/Unsure

Type other answer

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Section 3

Which area of the University are you connected to?

If you are not comfortable identifying your connection to the University, please select "Prefer not to say" at the bottom or select "Other" to provide another option.

School of Applied Sciences

Division of Engineering and Food Science

Division of Health Sciences

Division of Psychology and Forensic Sciences

Division of Sport and Exercise Sciences

School of Business, Law and Social Sciences

Division of Sociology

Division of Accounting, Business and Management

Division of Law

School of Design and Informatics

Division of Games and Arts

Division of Cyber Security

Division of Games Technology and Mathematics

University Services

Academic Registry

External & Corporate Relations

Estates & Campus

Financial & Research Funding

Information Services (Incl. Library, SEZ, IT Services)

Student Services

Other

Student Association

Other

Type other answer

Prefer not to say

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Section 4

Please fill in the following information about yourself. We monitor reports by these equality groups to inform our future work. For example, we might want to know how many female students have made a report in the last 6 months. We do not include any personal details in these monitoring reports. If you are not comfortable providing this information, please select "Prefer not to say".

Age

25 years or under

26 - 35 years

36 - 45 years

46 - 55 years

56 years or over

Prefer not to say

Unknown

Do you consider yourself to be disabled within the definition of the Equality Act 2010?

The Equality Act 2010 describes a disabled person as: "â€¦anyone who has a physical, sensory or mental impairment, which has a substantial and long term adverse effect on their ability to carry out normal day-to-day activities."

Yes

Prefer not to say

Unknown

Ethnicity

White

Other White Background

Black or Black British or Black Caribbean

Other Black Background

Asian or Asian British

Chinese

Other Asian Background

Arabic

Other White and Black Caribbean, African or Asian

Other Mixed Background

Other

Type other answer

Prefer not to say

Unknown

Gender

Male

Female

Non-Binary

Other

Type other answer

Unknown

Prefer not to say

Is your gender identity different from the gender you were assigned at birth?

Yes

Prefer not to say

Unknown

Religion or belief

No religion

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Spiritual

Other

Type other answer

Prefer not to say

Unknown

Sexual orientation

Heterosexual

Gay/lesbian (Homosexual)

Bisexual

Other

Type other answer

Prefer not to say

Unknown

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Section 5

Send Report

By submitting this form, we will use the anonymised information to help make the University a safe place for everyone. Full details of how we use and store your data are set out in our privacy policy.

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