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Nuisance details
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Nuisance details
Nuisance details
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Q1
Do you know the exact address of the incident?
Do you know the exact address of the incident? mandatory field
Yes
No
Please enter the postcode and press the "Find Address" button. If you do not know the postcode or you're unable to find the address, you can enter the address in the fields below.
Postcode:
(optional)
(optional)
(optional)
My address is not listed
Address line 1:
mandatory field
Address line 2:
(optional)
Address line 3:
(optional)
Town/city:
mandatory field
County:
mandatory field
Postcode:
mandatory field
(optional)
Press the "Find a street" button to select from a list of streets or type the name and location of the street below.
Street:
mandatory field
(optional)
Q2
Date and time this incident occured:
mandatory field
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
:
Minute
(hours : minutes)
Q3
Who do you feel this incident is affecting?
Who do you feel this incident is affecting? mandatory field
The community
Another individual
Your family
You
Q4
How often do the incidents occur?
How often do the incidents occur? mandatory field
Daily
Most days
Most weeks
Most months
Rare
First time
Q5
Do you think that incidents are happening more often and/or are getting worse?
Do you think that incidents are happening more often and/or are getting worse? mandatory field
No
Yes
Q6
Do you know who is causing the anti-social behaviour?
Do you know who is causing the anti-social behaviour? mandatory field
No
Yes
Know each other well
Q7
Do you feel that this incident is associated with your faith, nationality, ethnicity, sexuality, age, gender or mental/physical disability?
Do you feel that this incident is associated with your faith, nationality, ethnicity, sexuality, age, gender or mental/physical disability? mandatory field
No
Yes
Q8
Does the person causing the anti-social behaviour (or their associates) have a history of or reputation for intimidation, harassment or anti-social behaviour?
Does the person causing the anti-social behaviour (or their associates) have a history of or reputation for intimidation, harassment or anti-social behaviour? mandatory field
No/Don't know
Have not intimidated/harassed me before, but have a history or reputation for intimidation/harassment or violent behaviour to others
Have intimidated/harassed me in the past
Currently intimidating/harassing me
Q9
How affected have you been by what has happened?
How affected have you been by what has happened? mandatory field
Not at all
Changed routine or avoid locations
Distressed
Affected physical or mental health
Other
Q10
Do you have any friends, family or professionals to go to for support?
Do you have any friends, family or professionals to go to for support? mandatory field
A close network of people to draw on for support
A few people to draw on for support
Lives alone and is isolated
Q11
In addition to what has happened, do you feel that there is anything that is increasing you or your household’s personal risk (e.g. because of personal circumstances)?
In addition to what has happened, do you feel that there is anything that is increasing you or your household’s personal risk (e.g. because of personal circumstances)? mandatory field
No
Yes
Q12
Are any other agencies involved with this problem?
Are any other agencies involved with this problem? mandatory field
No
Yes
Score
Score:
(optional)
What are the main issues you wish to report?
Primary issue:
mandatory field
Household smoke/bonfires
Business related smoke/bonfires
Business related dust
Business related smell
Households with a build-up of rubbish
Businesses with a build-up of rubbish
Flies and insects from businesses
Artificial light from households
Artificial light from businesses
Noise from households
Noise from businesses
Graffiti
Fly tipping
Littering
Dog fouling
Vehicle related anti-social behaviour
Other
(Value If Not In List)
Please tick all other issues that apply.
Household smoke/bonfires
Business related smoke/bonfires
Business related dust
Business related smell
Households with a build-up of rubbish
Businesses with a build-up of rubbish
Flies and insects from businesses
Artificial light from households
Artificial light from businesses
Noise from households
Noise from businesses
Graffiti
Fly tipping
Littering
Dog fouling
Vehicle related anti-social behaviour
Other:
(optional)
Please give brief details of the anti-social behaviour you wish to report
(Max. 700 characters)
.
e.g. The two German Shepherd dogs at 10 The Road bark nonstop when their owners go out. This is normally between 10pm and midnight on a Saturday night. I have raised this with the dog owners but they have not taken any action.
(optional)
What action would you like taken to resolve this issue?
(optional)
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