1.How do you identify?

Female/female-presenting 

Male/male-presenting

Non-binary

Other (please specify)

2.How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

3.How often do you carry a mobile phone on your person outside your home?

Always

Usually

Sometimes

Rarely

Never

I don't own a mobile phone

4.Do you feel safe walking alone at night? (ex. travelling to and from home, work, parties, etc.)

I feel confident and safe when walking alone at night.

I am wary and analytical of my surroundings, but otherwise safe and unafraid.

I often travel alone at night, but I feel unsafe and scared. 

I avoid walking alone at night in fear of my safety. 

Other (please specify)

5.Have you ever avoided phoning the police in fear of escalating a situation?

Yes, I avoided phoning the police

No, I did not avoid phoning the police

I have never been in a situation like this

I have not experienced this, but I worry I might be in a situation like this

6.Have you ever been in a situation in which you needed to alert the authorities, but had no means to do so? (ex. you were inebriated, you did not have a phone on your person, etc.)

Yes, I hadn't been able to contact the authorities

No, I have always been able to contact the authorities

I have never needed to alert the authorities

I have not been in this situation, but I worry about this possibility

7.Would a product designed to simplify contacting the authorities make you feel safer and improve your quality of life?

Yes, this would improve my quality of life

No, I feel safe as is

Other (please specify)

8.Please provide any additional feedback or comments.