Exeter Speaks Out

Anonymous report

This form is anonymous and confidential. It is for students and staff to use.

We will not be able to act on the information or respond to you in person. We encourage you to use the informal reporting form instead if you feel comfortable to do so.

If you would like a response

Please use the confidential informal reporting form instead of this one, so the Equality and Diversity team can get in touch with you.
View the help and advice section of this website for other sources of support.

How we will use your information

It is not possible to identify any individuals from the data collected in this form.
The University will use the information you provide to help us understand what kind of incidents are taking place within our community and take positive action.
Reports on the data collected will be considered by the University’s Inclusivity Group, University Executive Board (UEB) and Council, and published annually online.

Please tick the box to confirm you have read the information above. All other questions are optional.
I have read the information above and understand that no specific action can be taken as a result of reporting anonymously. *

About you
Who are you reporting on behalf of?
And you are a:
What is your level of study?
What is your fee status?
Why would you prefer to report anonymously? (Please tick all that apply)	I don't know the individuals involved I don't feel authorised to share details of the individuals involved I'm not sure if it's serious enough to report formally I don't want to get involved in a formal process I want to move on quickly and not re-live the incident for any longer than necessary I don't trust that the University will take appropriate action I am concerned my experience at the University will be affected as a result I am concerned my personal life will be affected as a result Other Prefer not to say

About the incident(s)
When did the incident(s) take place? ?	It's ongoing In the last week In the last month In the last year Between 1-5 years ago Over 5 years ago I don't know Prefer not to say If there has been more than one event please use the most recent date.
Where did the incident take place? ?	If there has been more than one event please use the most recent place.
Which campus?	Streatham St Luke's RD&E Penryn Truro Prefer not to say
What type of space was it?	Teaching space Admin space Office space Social space University accommodation None of these Prefer not to say
Which city?	Exeter Penryn/Falmouth Truro Prefer not to say
What type of location?	Fieldwork Placement Studying abroad Other Prefer not to say
Was the incident connected with a specific College, service or society?
Was the incident connected with a specific directorate?
Was the incident connected with a specific discipline?
Was the incident connected with a specific discipline?
Was the incident connected with a specific discipline?
Was the incident connected with a specific discipline?
Was the incident connected with a specific discipline?
Was the incident connected with a specific discipline?

What was the behaviour experienced? (Please tick all that apply. Click the question marks for definitions)
Harassment ?	Bullying Online Physical Racist behaviour Sexual Stalking (in person or online) Verbal Other harassment Unwanted conduct on the basis of a protected characteristic which has the purpose or effect of violating an individual's dignity or creating an intimidating, hostile, degrading, humiliating or offensive environment for that individual.
Direct and indirect discrimination ?	Less favourable treatment regarding social activities Less favourable treatment regarding teaching and education Less favourable treatment regarding access to employment opportunities Other discrimination Being treated less favourably than someone else because of a protected characteristic, or because you associate with someone who has a protected characteristic, or where there is a rule in place which disadvantages people with a protected characteristic.
Violence and abuse ?	Controlling or coercive behaviour Domestic violence or abuse Hate crime Intimidating behaviour Physical misconduct (hitting, pushing, spitting) Sexual violence or abuse Other violence or abuse The intentional use of power or physical force, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.
I don't know
Prefer not to say

What do you think was the reason for this incident? (Please tick all that apply)
My / the target's:	Age Disability (including hidden disabilities and mental health) Gender reassignment/transgender Marriage or civil partnership Pregnancy or maternity leave Race (including colour, nationality, ethnic or national origin) Religion, belief or lack of religion/belief Sex Sexual orientation I don't know None of these

About this tool
Was this anonymous reporting tool easy to use?	Yes No
Have you found it helpful to be able to make an anonymous report?	Yes No